Individual
MR. KYLE MARCUS CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 847-6421
(414) 527-3132
Mailing address
12605 W NORTH AVE STE 118, BROOKFIELD, WI 53005-4629
(414) 243-9699
(414) 527-3132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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