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Individual

DR. WILLIAM GRACE CRANE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., F.A.C.S.

Contact information

Practice address
1815 STATE ST, WATERTOWN, NY 13601-9407
(315) 788-6070
(315) 788-1950
Mailing address
1815 STATE ST, WATERTOWN, NY 13601-9407
(315) 788-6070
(315) 788-1950

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
190088
NY
207W00000X
Ophthalmology Physician
53660-021
WI
207W00000X
Ophthalmology Physician
OS010508L
PA
207W00000X
Ophthalmology Physician
TP921
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017553330002
PA
01
2191752
AETNA
PA
01
61-1208424
UNITED HEALTH
KY
01
P01023135
MEDICARE RAILROAD
KY
Enumeration date
07/18/2006
Last updated
12/07/2012
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