Individual
CRAIG EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 2ND ST SW, TOWNER, ND 58788-5878
(406) 478-1399
Mailing address
PO BOX 133, TOWNER, ND 58788-0133
(406) 478-1399
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0107519734109
MT
Other
Enumeration date
01/05/2021
Last updated
03/06/2021
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