Dr. Jason Paul Cruff
Female Pelvic Medicine and Reconstructive Surgeon
22731 Newman St Ste 200
Dearborn
, Michigan 48124-2023
Dr. Jason Paul Cruff
Female Pelvic Medicine and Reconstructive Surgeon
22731 Newman St Ste 200
Dearborn
, Michigan 48124-2023
(313) 982-0500
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jason Paul Cruff
- 22731 Newman Street Suite 200
- Dearborn, MI
- Zip : 48124
- Fax : (313) 982-0500
- Phone : (313) 982-0200
Second Address
- Dr. Jason Paul Cruff
- 22731 Newman St Ste 200
- Dearborn, MI
- Zip : 48124-2023
- Fax : (313) 982-0500
- Phone : (313) 982-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 5101023637 | MI |
National Provider Identifier
| NPI | 1316205578 |
|---|---|
| Provider Name | Dr. Jason Paul Cruff |
| First Address | Dearborn, MI 48124 |
| Second Address | Dearborn, MI 48124-2023 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2012 |
| Last Update Date | 22/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5101023637 | MICHIGAN STATE LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.