Organization
CROWN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL JAMES WARD (OWNER)
(313) 255-1759
Entity
Organization
Contact information
Practice address
19303 FIELDING ST, DETROIT, MI 48219-2528
(313) 255-1759
(313) 255-1759
Mailing address
19303 FIELDING ST, DETROIT, MI 48219-2528
(313) 255-1759
(313) 255-1759
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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