| John A. Crayne Md | |
|
8948 Lewis Ave Temperance MI 48182-1653 | |
| (419) 824-5203 | |
| (419) 824-5194 |
| Full Name | John A. Crayne Md |
|---|---|
| Speciality | Family Medicine |
| Location | 8948 Lewis Ave, Temperance, Michigan |
| Authorized Official Name and Position | John A Crayne (PRESIDENT) |
| Authorized Official Contact | 7348470538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Crayne Md 8948 Lewis Ave Temperance MI 48182-1653 Ph: (419) 824-5203 | John A. Crayne Md 8948 Lewis Ave Temperance MI 48182-1653 Ph: (419) 824-5203 |
| NPI Number | 1861664625 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 0244241537 |
|---|---|
| Medicare Enrollment ID | O20060530000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861664625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0580102 (Michigan) | Primary |
| Provider Name | John A Crayne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952305542 PECOS PAC ID: 7517978810 Enrollment ID: I20101104000823 |
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Mark T. Snyder M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8967 Lewis Ave, Temperance, MI 48182 Phone: 734-224-7900 Fax: 734-224-7912 | |
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