Individual
DR. PAUL D CROISSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44555 WOODWARD AVE STE 307, PONTIAC, MI 48341-5035
(248) 484-5303
(488) 585-8692
Mailing address
44555 WOODWARD AVE STE 307, PONTIAC, MI 48341-5035
(248) 484-5303
(488) 585-8692
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301029245
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004459938
AETNA HEALTH PLANS
MI
01
—
01008146
HEALTH PLUS OF MICHIGAN
MI
01
—
0636905
BCBSM
MI
01
—
101507
PREFERRED CHOICES
MI
05
—
104851988
—
MI
05
—
1699754754
—
MI
01
—
700F318300
BLUE CROSS BLUE SHIELD
MI
01
—
B44980
HEALTH ALLIANCE PLANS
MI
01
—
C4370
M-CARE
MI
01
—
P00331429
RAILROAD MEDICARE
MI
Enumeration date
01/17/2006
Last updated
03/24/2020
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