# CHARLES P CRAIG MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790017416
- **Authorized official:** DR. CHARLES POE CRAIG MEDICAL DOCTOR (OWNER)
- **Authorized official phone:** (734) 528-9111

## Contact information

- **Practice address:** 4870 W CLARK RD, SUITE 204, YPSILANTI, MI 48197-1104
- **Practice address phone:** (734) 528-9111
- **Practice address fax:** (734) 528-9082
- **Mailing address:** 4870 W CLARK RD, SUITE 204, YPSILANTI, MI 48197-1104
- **Mailing address phone:** (734) 528-9111
- **Mailing address fax:** (734) 528-9082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | CC052386 | MI | Yes |

## Other

- **Enumeration date:** 02/05/2010
- **Last updated:** 02/05/2010