Otis Leon Crawford JR. DO

NPI 1134321185 - General Practice - 208D00000X

NPI Details
NPI 1134321185
Gender Male
Enumeration Date 06/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
25755 SOUTHFIELD RD
SUITE 203
SOUTHFIELD MI, 48075, US
Phone (810) 238-8637
Fax (810) 238-8637
Business Location
18228 STEEL STREET
DETROIT MI, 48235, US
Phone (313) 863-2238
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Michigan
License Number 035331
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According to our database, Otis Leon Crawford JR. DO NPI is 1134321185, taxonomy code is 208D00000X and license number is 035331, license state is located at Michigan. Otis Leon Crawford JR. DO physically located at 25755 Southfield Rd, Southfield MI, 48075. NPI Number Otis Leon Crawford JR. DO has the Individual type.

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1134321185 NPI number is provided on an as is basis without warranty of any kind. 1134321185 is maintained by the National Plan & Provider Enumeration System. The contents of Otis Leon Crawford JR. DO are for informational purposes only.