Individual
DR. DOUGLAS GARY CREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101009915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4237171
—
MI
Enumeration date
08/20/2006
Last updated
07/03/2014
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