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Individual

MR. CHARLES DAVID CRUICKSHANK SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1226 RACE ROAD, STE A, BALTIMORE, MD 21237
(410) 687-3313
(410) 687-7667
Mailing address
1226 RACE ROAD, STE A, BALTIMORE, MD 21237
(410) 687-3313
(410) 687-7667

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01776
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M563
CAREFIRST BLUE CROSS BS
MD
01
W3720001
GHMSI
MD
Enumeration date
01/08/2007
Last updated
07/08/2007
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