Healthcare Provider Details

I. General information

NPI: 1134044340
Provider Name (Legal Business Name): JEFFREY LOUIS CRANE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JEFF CRANE PHARMD

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 S CESAR E CHAVEZ DR
MILWAUKEE WI
53204-2203
US

IV. Provider business mailing address

1032 S CESAR E CHAVEZ DR
MILWAUKEE WI
53204-2203
US

V. Phone/Fax

Practice location:
  • Phone: 414-672-1353
  • Fax:
Mailing address:
  • Phone: 414-672-1353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23152-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: