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NPI Code Detail

MEDICARE: DR. MICHAEL CRIMMINS MD

MEDICARE:  DR. MICHAEL  CRIMMINS  MD
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
1208100000XPhysical Medicine & Rehabilitation PhysicianD98631MD
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician84321WI

General Provider Information

NPI Number : 1952938532
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL CRIMMINS MD
Provider Business Mailing Address
First Line : 2500 N MAYFAIR RD STE 500
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-1415
Country : US
Telephone Number : 414-257-2525
Fax Number : 414-257-1772
Provider Business Practice Location Address
First Line : 2500 N MAYFAIR RD STE 500
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-1415
Country : US
Telephone Number : 414-257-2525
Fax Number : 414-257-1772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 02/04/2026

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Directions to “ DR. MICHAEL CRIMMINS MD” Practice Location

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