Individual
FREDERICK V CRALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4623 WESLEY AVE, SUITE P, CINCINNATI, OH 45212-2272
(513) 841-0777
(513) 841-0877
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.047194
OH
207RC0000X
Cardiovascular Disease Physician
35-04-7194
OH
Other
Enumeration date
08/09/2005
Last updated
03/14/2013
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