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Individual

DAVID N CROWTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 E DIVISION ST, WAUTOMA, WI 54982
(920) 787-6900
Mailing address
900 E DIVISION ST, WAUTOMA, WI 54982-6944
(920) 787-6900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37262
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32197200
WI
Enumeration date
09/11/2006
Last updated
11/29/2021
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