Organization
CROW CREEK THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GEARHEART (PRESIDENT)
(317) 813-4210
Entity
Organization
Contact information
Practice address
23939 RESEARCH DR, FARMINGTON HILLS, MI 48335-2630
(313) 634-4856
Mailing address
3750 PRIORITY WAY SOUTH DR, INDIANAPOLIS, IN 46240-3831
(888) 420-2337
(833) 786-2066
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
M261929
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790049468
—
MI
Enumeration date
06/27/2012
Last updated
10/25/2024
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