Organization
DAVID G. CRANE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G CRANE M.D. (PRESIDENT)
(812) 339-1221
Entity
Organization
Contact information
Practice address
802 S WASHINGTON ST, BLOOMINGTON, IN 47401-4644
(812) 339-1221
Mailing address
802 S WASHINGTON ST, BLOOMINGTON, IN 47401-4644
(812) 339-1221
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
01019739
IN
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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