Individual
JOHN A CRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 LAKESHORE DR, RICE LAKE, WI 54868
(715) 236-8134
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30112
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30625800
—
WI
Enumeration date
08/21/2006
Last updated
11/17/2022
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