| Doctor Name: | RUSSELL M. CRISPELL |
| NPI Number: | 1962699900 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 5101006162 |
| Business Practice Address: | 32464 Schoolcraft Rd Livonia, MI - 481504308 |
| Business Phone Number: | 7342669370 |
| Business Fax Number: | 7342669371 |
| Mailing Address: | 32464 Schoolcraft Rd, LIVONIA |
| State: | MI |
| Postal Code: | 481504308 |
| Phone Number: | 7342669370 |
| Fax Number: | 7342669371 |
| NPI Enumeration Date: | 10/03/2007 |
| NPI Last Update Date: | 10/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101006162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |