Individual
JERRY RUSSELL CROTEAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4665 E TRINDLE RD, MECHANICSBURG, PA 17050-3640
(717) 975-0445
(717) 731-9165
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 938-2765
(717) 932-3095
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD007267E
PA
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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