Individual
DR. NICHOLAS W CROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-4344
(850) 763-5456
Mailing address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-4344
(850) 763-5456
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DO2165
NV
207X00000X
Orthopaedic Surgery Physician
Primary
OS15465
FL
207X00000X
Orthopaedic Surgery Physician
OT014819
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2165
NV MEDICAL LICENSE
NV
01
—
OS15465
FL MEDICAL LICENSE
FL
Enumeration date
07/24/2011
Last updated
09/05/2018
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