# MICHAEL D CRAGEL DPM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MICHAEL D CRAGEL DPM KHASE A WILKINSON DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588798060
- **Authorized official:** DR. MICHAEL DONALD CRAGEL DPM (OWNER)
- **Authorized official phone:** (419) 693-4171

## Contact information

- **Practice address:** 715 S COY RD, OREGON, OH 43616-3007
- **Practice address phone:** (419) 693-4171
- **Practice address fax:** (419) 693-6863
- **Mailing address:** 715 S COY RD, OREGON, OH 43616-3007
- **Mailing address phone:** (419) 693-4171
- **Mailing address fax:** (419) 693-6863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2026 | OH | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 10/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0497752 | MEDICAID INDIVIDUAL | OH |
| 01 | — | 1134248099 | DME GROUP NPI | OH |
| 05 | — | 2234639 | — | OH |
| 01 | — | 9252891 | MEDICARE,GROUP | OH |