Individual
CRAIG P MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
612 S SIBLEY AVE, LITCHFIELD, MN 55355-3340
(320) 693-3242
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R146247-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001S4MC
BLUE CROSS OF MN
MN
05
—
983818000
—
MN
Enumeration date
09/16/2006
Last updated
04/29/2008
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