Organization · Type 2 NPI
Otis Leon Crawford JR
General Practice Physician · Detroit, MI
NPI number
1629425855
Active
Practice location
16125 Mack Ave
Detroit, MI 48224-3644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1629425855
Otis Leon Crawford JR's National Provider Identifier is 1629425855, issued on May 18, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 26, 2017.