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Organization

MARK W CRANDALL MDPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK W CRANDALL MD (PRESIDENT)
(410) 356-2884
Entity
Organization

Contact information

Practice address
11421 REISTERSTOWN RD, OWINGS MILLS, MD 21117-1834
(410) 356-2884
(410) 833-8174
Mailing address
11421 REISTERSTOWN RD, OWINGS MILLS, MD 21117-1834
(410) 356-2884
(410) 833-8174

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/15/2008
Last updated
08/15/2008
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