Individual
WAYNE CRUTCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 HAYES ST, YPSILANTI, MI 48198-6093
(734) 829-7026
Mailing address
445 HAYES ST, YPSILANTI, MI 48198-6093
(734) 829-7026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703080881
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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