Malcolm E Crennell, PA-C

NPI #1225095987 in Madison, Wisconsin

Provider Information

NPI Number: 1225095987
Entity Type: Individual
Name: Malcolm E Crennell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 27, 2006
Last Updated: Apr 11, 2018

Practice Location

Address: 1821 S STOUGHTON RD
City: Madison
State: Wisconsin
ZIP Code: 53716-2257
Phone: (608) 260-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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