Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH THOMAS CROCKER, DO
Active Sole ProprietorDR. KEITH THOMAS CROCKER, DO is a Orthopaedic Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1871597419 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1871597419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.033735797371 yrs)
- Last Updated
- Dec 5, 2007
- License
-
5101007635 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4300 CASCADE RD SESTE 103GRAND RAPIDS, MI, 495463631Browse MI providers · Browse ZIP 49546
- Phone
- 6162454513
- Fax
- 6162454802
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DALE R MEAD | M.D. | 1518966530 |
| MARK S ASPERHEIM | MD | 1699763177 |
| DONALD R BOHAY | MD | 1891783387 |
| DR. CHARLES D BUKREY | MD | 1003804592 |
| THOMAS A MALVITZ | MD | 1912995408 |
| ROBERT L DEMAAGD | MD | 1851389332 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.