Individual
DR. GABRIEL CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 985-9681
Mailing address
1222 10TH AVE, PORT HURON, MI 48060-3406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5315059614
MI
207RC0000X
Cardiovascular Disease Physician
5101020429
MI
207RI0011X
Interventional Cardiology Physician
Primary
5101020429
MI
Other
Enumeration date
05/14/2013
Last updated
11/19/2020
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