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General NPI Number Information
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NPI Number | 1356998397
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Entity Type | Organization
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Legal Business Name | DAVID CRISS MD PC
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 23077 GREENFIELD RD STE 280
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3716
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Country | US
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Telephone | 248-557-3337
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Fax | 248-557-3339
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Provider Business Mailing Address
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Address Line | 23077 GREENFIELD RD STE 280
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3716
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Country | US
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Telephone | 248-557-3337
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Fax | 248-557-3339
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DAVID CRISS
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Credential | MD
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Telephone | 248-808-4578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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