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1760422638
JOHN D CRISSMAN
DETROIT, MI
NPI
1760422638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MI 4301043946)
Enumeration Date
2006-06-07
Last Update Date
2014-02-06
Business Address
-- JOHN D CRISSMAN MD
9374 SCOTT HALL 540 E CANFIELD AVE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
DETROIT, MI 48201-1928
Phone number: 313-577-1335
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Mailing Address
-- JOHN D CRISSMAN MD
1420 STEPHENSON HWY SUITE 400-CREDENTIALING
TROY, MI 48083-1189
Phone number: 248-581-5974
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