Provider Demographics
NPI:1134268154
Name:CRABTREE, MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:CRABTREE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 PINEHURST RD SE
Mailing Address - Street 2:102
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2219
Mailing Address - Country:US
Mailing Address - Phone:505-896-9412
Mailing Address - Fax:505-896-9416
Practice Address - Street 1:914 PINEHURST RD SE
Practice Address - Street 2:102
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2219
Practice Address - Country:US
Practice Address - Phone:505-896-9412
Practice Address - Fax:505-896-9416
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2006-0555207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology