| Doctor Name: | MRS. MALORIE SUSAN CRAWFORD |
| NPI Number: | 1073517041 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.C., B.S.N. |
| License Number: | 4704178104 |
| Business Practice Address: | 560 Osborn Blvd Sault Sainte Marie, MI - 497831961 |
| Business Phone Number: | 9066321800 |
| Business Fax Number: | 9066322199 |
| Mailing Address: | 560 Osborn Blvd, SAULT SAINTE MARIE |
| State: | MI |
| Postal Code: | 497831961 |
| Phone Number: | 9066321800 |
| Fax Number: | 9066322199 |
| NPI Enumeration Date: | 06/08/2005 |
| NPI Last Update Date: | 11/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704178104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |