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Organization

CAROL CROUCH-ROSS MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROL D. CROUCH-ROSS M.D. (CEO/OWNER)
(248) 888-0088
Entity
Organization

Contact information

Practice address
19811 FARMINGTON RD, LIVONIA, MI 48152-1444
(248) 888-0088
(248) 888-0060
Mailing address
19811 FARMINGTON RD, LIVONIA, MI 48152-1444
(248) 888-0088
(248) 888-0060

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301064192
MI

Other

Enumeration date
07/25/2012
Last updated
07/25/2012
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