| Carol Crouch-ross Md Pllc | |
|
19811 Farmington Rd Livonia MI 48152-1444 | |
| (248) 888-0088 | |
| (248) 888-0060 |
| Full Name | Carol Crouch-ross Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19811 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Carol D. Crouch-ross (CEO/OWNER) |
| Authorized Official Contact | 2488880088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Crouch-ross Md Pllc 19811 Farmington Rd Livonia MI 48152-1444 Ph: (248) 888-0088 | Carol Crouch-ross Md Pllc 19811 Farmington Rd Livonia MI 48152-1444 Ph: (248) 888-0088 |
| NPI Number | 1588910707 |
|---|---|
| Provider Enumeration Date | 07/25/2012 |
| Last Update Date | 07/25/2012 |
| Medicare PECOS PAC ID | 7315195864 |
|---|---|
| Medicare Enrollment ID | O20120907000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588910707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 4301064192 (Michigan) | Primary |
| Provider Name | Carol D Crouch-ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053466946 PECOS PAC ID: 7517002835 Enrollment ID: I20100310000885 |
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