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NPI Code Detail

MEDICARE: JUSTIN PAUL CROWLEY PA-C

MEDICARE: JUSTIN PAUL CROWLEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601011595MI
2363A00000XPhysician Assistant2026013076MO
3363A00000XPhysician Assistant50.004971RXOH

General Provider Information

NPI Number : 1578001426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN PAUL CROWLEY PA-C
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE STOP 1108
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E MEDICAL CENTER DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48109-5000
Country : US
Telephone Number : 734-936-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2017
Last Update Date : 05/04/2026

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Directions to “ JUSTIN PAUL CROWLEY PA-C” Practice Location

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