# DR. CRAIG T HAYTMANEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053358887
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD020500E | PA | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | MD020500E | PA | — |
| 207Y00000X | Otolaryngology Physician | MD020500E | PA | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | MD020500E | PA | — |
| 208D00000X | General Practice Physician | MD020500E | PA | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 04/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006092320001 | — | PA |