Provider Demographics
NPI:1053859124
Name:CREAN, ANDREW MICHAEL DOMINIC (MD MRCP FRCR)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MICHAEL DOMINIC
Last Name:CREAN
Suffix:
Gender:M
Credentials:MD MRCP FRCR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:CENTRAL CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-245-3104
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:DIVISION OF CARDIOVASCULAR HEALTH AND
Practice Address - Street 2:231 ALBERT SABIN WAY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0001
Practice Address - Country:US
Practice Address - Phone:513-558-7565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.128712207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease