Individual
JOHN RUSSELL C CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 EAST WOODLAND DR, SALINE, MI 48176-1620
(734) 429-2302
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053485
MI
207RI0200X
Infectious Disease Physician
4301053485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4171300
—
MI
Enumeration date
10/11/2006
Last updated
03/01/2012
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