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Individual

CRAIG WALTER LOPATKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
2502 E EMPIRE ST STE B, BLOOMINGTON, IL 61704-3739
(309) 662-6120
Mailing address
8254 N 2075 EAST RD, DOWNS, IL 61736-9547
(309) 378-2045
(309) 378-1430

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010274
GA
207L00000X
Anesthesiology Physician
IL

Other

Enumeration date
02/13/2007
Last updated
09/11/2025
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