Individual
DR. DOUGLAS CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 841-6913
Mailing address
3219 CONGER ST, PORT HURON, MI 48060-2280
(810) 488-0077
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301077876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104675657
—
MI
05
—
104723861
—
MI
05
—
104723880
—
MI
01
—
DC077876
BC/BS OF MICHIGAN
MI
Enumeration date
05/31/2006
Last updated
09/04/2024
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