Organization
OTIS LEON CRAWFORD JR
Active
Other names
DOCTORS CREATIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS CRAWFORD D.O. (PROVIDER)
(313) 268-5866
Entity
Organization
Contact information
Practice address
16125 MACK AVE, DETROIT, MI 48224-3644
(313) 469-9034
Mailing address
16125 MACK AVE, DETROIT, MI 48224-3644
(313) 469-9054
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
06/26/2017
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