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Individual

STEPHEN CROWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-1700
Mailing address
3605 WARRENSVILLE CTR RD, MSC 9152, SHAKER HTS, OH 44122
(216) 286-6299
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35067471
OH
2085R0202X
Diagnostic Radiology Physician
9836
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000234689
UNISON
OH
01
000000558048
ANTHEM
OH
01
0304914
BCMH
OH
05
13738
ND
05
2206606
OH
01
5231043
AETNA
OH
01
754133
BUCKEYE
OH
Enumeration date
08/16/2006
Last updated
05/22/2008
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