Individual
ELLEN CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 W FAIR AVE STE 36, MARQUETTE, MI 49855-2675
(906) 449-1120
Mailing address
1414 W FAIR AVE STE 36, MARQUETTE, MI 49855-2675
(906) 449-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151017059
MI
Other
Enumeration date
04/12/2024
Last updated
05/14/2024
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