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Individual

CRAIG A HOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1450 EASTSIDE RD, STE 110, PLATTEVILLE, WI 53818-9800
(608) 348-4330
(608) 342-4801
Mailing address
1450 EASTSIDE RD, STE 110, PLATTEVILLE, WI 53818-9800
(608) 348-4330
(608) 342-4801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
281-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1020737
PHYSICIANS PLUS
WI
01
1705
DEAN HEALTH INSURANCE
WI
05
42904500
WI
Enumeration date
04/17/2006
Last updated
11/13/2014
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