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Mr. Thomas H Crawford

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NPI Number Detailed Information

Provider Information:

Name: Mr. Thomas H Crawford
Gender: M
Provider License Number If Given: 11357

NPI Information:

NPI: 1871587386
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 6/18/2014

Provider Business Mailing Address:

Address: 4811 S 76TH ST SUITE 401
Greenfield, WI 53220
Phone Number: 4143257741
Fax Number: 4143257753

Provider Business Practice Location Address:

Address: 4811 S 76TH ST SUITE 401
Greenfield, WI 53220
Phone Number: 4143257741
Fax Number: 4143257753

Provider Taxonomy:

Primary: 101YA0400X
Secondary (if any): 101YP2500X
State: WI

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