Provider Demographics
NPI:1639281934
Name:CREW, RALPH P (DO)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:P
Last Name:CREW
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:650 LINDEN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1879
Mailing Address - Country:US
Mailing Address - Phone:231-796-0010
Mailing Address - Fax:231-796-2496
Practice Address - Street 1:650 LINDEN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1880
Practice Address - Country:US
Practice Address - Phone:231-796-0010
Practice Address - Fax:231-796-2496
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIRC008359207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI180036284OtherMEDICARE RAILROAD
MI503958OtherPREFERRED CHOICES
MI0E41065OtherBLUE CROSS BLUE SHIELD
MI1855400034OtherBCBSM
MI383209247OtherPRIORITY HEALTH
MIRC008359OtherBCN
MI1280290001OtherADMINISTAR
MICG0293OtherMEDICARE RAILROAD
MIRC008359OtherBCN
MI503958OtherPREFERRED CHOICES
MI1280290001Medicare NSC