Individual
DR. MICHAEL JAY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2540 WOODVILLE RD, NORTHWOOD, OH 43619-1444
(419) 693-0484
(419) 693-2042
Mailing address
2540 WOODVILLE RD, NORTHWOOD, OH 43619-1444
(419) 693-0484
(419) 693-2042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3604
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03064
PARAMOUNT HEALTHCARE
OH
05
—
0489449
—
OH
01
—
360944
NVA
OH
Enumeration date
07/12/2006
Last updated
05/01/2009
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