Individual
DR. DAWN MARIE CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
461 W HURON ST STE 406, PONTIAC, MI 48341-1601
(586) 229-7812
Mailing address
PO BOX 182433, SHELBY TOWNSHIP, MI 48318-2433
(586) 229-7812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704284552
MI
363LF0000X
Family Nurse Practitioner
4704284552
MI
Other
Enumeration date
06/22/2017
Last updated
11/07/2023
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