Individual
DR. CRAIG C YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7100
(414) 805-7171
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7100
(414) 805-7171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33350
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
33350
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000139I
HUMANA
—
05
—
1215989579
—
WI
Enumeration date
05/16/2006
Last updated
06/22/2021
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