John Michael Cruickshank D.O.

NPI 1619247814 - Family Medicine - 207Q00000X

NPI Details
NPI 1619247814
Gender Male
Enumeration Date 01/04/2012
Last Updated 01/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4101 INDIAN SCHOOL RD NE
ALBUQUERQUE NM, 87110-3988, US
Phone (505) 727-5259
Fax (505) 727-5167
Business Location
4101 INDIAN SCHOOL RD NE
ALBUQUERQUE NM, 87110-3988, US
Phone (505) 727-5259
Fax (505) 727-5167
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number A-1599-11
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According to our database, Dr. John Michael Cruickshank D.O. NPI is 1619247814, taxonomy code is 207Q00000X and license number is A-1599-11, license state is located at New Mexico. John Michael Cruickshank D.O. physically located at 4101 Indian School Rd Ne, Albuquerque NM, 87110-3988. NPI Number John Michael Cruickshank D.O. has the Individual type.

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1619247814 NPI number is provided on an as is basis without warranty of any kind. 1619247814 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Cruickshank D.O. are for informational purposes only.