| NPI | 1427216365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL CRAWFORD Dermatologist 812-358-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01063019A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01063019A) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01063019A) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2011-08-08 |