Organization
MICHAEL J CRAWFORD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J CRAWFORD MD (PRESIDENT)
(616) 458-4205
Entity
Organization
Contact information
Practice address
415 COLLEGE AVE NE, GRAND RAPIDS, MI 49503-1705
(616) 458-4205
(616) 459-3001
Mailing address
415 COLLEGE AVE NE, GRAND RAPIDS, MI 49503-1705
(616) 458-4205
(616) 459-3001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301034057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1498399
—
MI
Enumeration date
08/30/2007
Last updated
03/04/2008
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