Individual
AMY RUTH CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4088
(443) 481-6515
Mailing address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4088
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82154
WI
207Q00000X
Family Medicine Physician
D66570
MD
207Q00000X
Family Medicine Physician
ME89130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241339
—
WI
01
—
1697390
AETNA HMO
—
01
—
269666
KAISER
—
05
—
273737000
—
FL
05
—
413802300
—
MD
01
—
7736577
AETNA PPO
—
01
—
KJ77AN92322401
CAREFIRST
—
01
—
S3990045
CAREFIRTS BCBS
—
Enumeration date
02/18/2006
Last updated
08/17/2023
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