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Individual

DR. CRAIG MAGNATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3950 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-5160
(248) 844-6000
(248) 844-6159
Mailing address
3950 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-5160
(248) 844-6000
(248) 844-6159

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007450
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2582460
MI
01
OF31339
BCBS
MI
Enumeration date
03/23/2006
Last updated
09/30/2014
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