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Contact Information

MICHAEL L CRANDALL, MD
2224 W NORTHERN AVE STE D300
PHOENIX, AZ85021
 Phone: 602-277-1449
 Fax: 602-277-9984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MICHAEL L CRANDALL · (Male)

NPI Number 1780863092
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2007
Last updated 10/24/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 52323-020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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