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Organization

MICHAEL J. CRAWFORD, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JAMES CRAWFORD M.D. (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
332BC3200X
Customized Equipment (DME)
Primary
4301034057
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1498399
MI
Enumeration date
01/12/2007
Last updated
08/30/2007
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