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Individual

DR. MICHAEL LOWELL CRANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2224 W NORTHERN AVE STE D300, PHOENIX, AZ 85021
(602) 277-1449
(602) 277-9984
Mailing address
2224 W NORTHERN AVE STE D300, PHOENIX, AZ 85021-5099
(602) 277-1449
(602) 277-9984

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
52323-020
WI

Other

Enumeration date
11/02/2007
Last updated
10/24/2018
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