Basic Information
Provider Information
NPI: 1760651343
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CRANE
FirstName: PATRICK
MiddleName: SHAWN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 41 ARCH ST
Address2: SUITE 521
City: AKRON
State: OH
PostalCode: 443041401
CountryCode: US
TelephoneNumber: 3007948920
FaxNumber:  
Practice Location
Address1: 41 ARCH ST
Address2: SUITE 521
City: AKRON
State: OH
PostalCode: 443041401
CountryCode: US
TelephoneNumber: 3303753000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2008
LastUpdateDate: 02/27/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X57-012290OHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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