Individual
JEREMY MICHAEL CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 S DIXIE DR, STE 40, VANDALIA, OH 45377-2657
(937) 890-6644
(937) 890-1726
Mailing address
900 S DIXIE DR, STE 40, VANDALIA, OH 45377-2657
(937) 890-6644
(937) 890-1726
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.095689
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068013
—
OH
Enumeration date
05/02/2007
Last updated
11/12/2013
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