Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301035425 | MI |
Y | 2080P0202X | Pediatric Cardiologist | 4301035425 | MI |
NPI | 1124034368 |
---|---|
Provider Name | Dennis C Crowley |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1271090 | (05) | MI |
A78424 | (02) |