Individual
MATTHEW CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3417 E STATE BLVD, FORT WAYNE, IN 46805-4830
(260) 387-6218
Mailing address
3417 E STATE BLVD, FORT WAYNE, IN 46805-4830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003101A
IN
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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