Individual
DR. JONATHAN D CROMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23280 FARMINGTON RD, FARMINGTON, MI 48336-3100
(248) 477-1492
(248) 474-9099
Mailing address
23280 FARMINGTON RD, FARMINGTON, MI 48336-3100
(248) 477-1492
(248) 477-1052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831233
—
MI
01
—
383195957
PPOM
MI
01
—
950F35388
BCBS
MI
Enumeration date
01/02/2007
Last updated
06/09/2012
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