Healthcare Provider Details

I. General information

NPI: 1770533291
Provider Name (Legal Business Name): CRAWFORD J. STRUNK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 N COVE BLVD 5-SOUTH, PEDIATRICS
TOLEDO OH
43606-3895
US

IV. Provider business mailing address

2142 N COVE BLVD 5-SOUTH, PEDIATRICS
TOLEDO OH
43606-3895
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-7815
  • Fax: 419-291-6120
Mailing address:
  • Phone: 419-291-7815
  • Fax: 419-291-6120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number35082822
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: