Individual
CRAIG T COCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-4575
(906) 225-4578
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(615) 920-7782
(906) 225-7781
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301407491
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104957360
—
MI
05
—
104957379
—
MI
05
—
104957388
—
MI
01
—
1405234032
BLUE CROSS BLUE SHIELD MI
MI
01
—
140E210830
BLUE CROSS BLUE SHIELD MI
MI
05
—
4264713
—
MI
Enumeration date
01/18/2006
Last updated
08/08/2018
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