Individual
DR. CRAIG ALLAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
416 CONNABLE AVENUE, ER DEPARTMENT, PETOSKEY, MI 49770
(231) 487-4000
Mailing address
930 SPRING STREET, PETOSKEY, MI 49770
(800) 540-8739
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
CR008974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114081544
—
MI
Enumeration date
06/27/2006
Last updated
07/08/2007
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