Individual
MICHAEL J CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 EAST BELTINE, GRAND RAPIDS, MI 49525
(616) 949-2600
Mailing address
750 EAST BELTINE, GRAND RAPIDS, MI 49525
(616) 949-2600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301034057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1498399
—
MI
01
—
1804107642
BCBS/M PROVIDER NUMBER
MI
01
—
P00831509
MEDICARE RR
MI
Enumeration date
07/18/2005
Last updated
07/28/2010
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