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Individual

MICHAEL WILLIAM CROSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
676 STRAWBERRY HILL CT, COVINGTON, KY 41017-9647
(513) 702-3746
Mailing address
676 STRAWBERRY HILL CT, COVINGTON, KY 41017-9647
(513) 702-3746

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34515
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64961592
KY
Enumeration date
08/26/2005
Last updated
12/04/2020
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