Individual
STEPHANIE CRASS
Active
Individual
STEPHANIE CRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101026910
MI
207RC0000X
Cardiovascular Disease Physician
Primary
82162-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
05/12/2026
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