Individual
JUSTIN CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
29263 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-2953
(248) 488-5900
Mailing address
34553 COASTAL DR, STERLING HEIGHTS, MI 48310-5563
(810) 513-8812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
560100890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
560100890
STATE OF MICHIGAN PA LICENSING
MI
Enumeration date
12/06/2018
Last updated
12/06/2018
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