Individual
DR. LAURA JANE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 967-6500
(248) 967-6528
Mailing address
7700 2ND AVE, DETROIT, MI 48202-2477
(313) 202-8660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
052170
CT
207Q00000X
Family Medicine Physician
297340
NY
207Q00000X
Family Medicine Physician
Primary
4301088972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045657
—
CT
Enumeration date
05/01/2007
Last updated
01/31/2025
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