Individual
JESSE MICHAEL CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-2281
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(928) 637-5139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004303A
IN
207Q00000X
Family Medicine Physician
006664
AZ
207Q00000X
Family Medicine Physician
02004303A
IN
208M00000X
Hospitalist Physician
02004303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201094920
—
IN
Enumeration date
05/24/2012
Last updated
04/27/2021
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