Organization
CRAIG G. BURKHART, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG G BURKHART M.D. (DERMATOLOGIST)
(419) 885-3403
Entity
Organization
Contact information
Practice address
5600 MONROE ST, BLDG B, SUITE 106, SYLVANIA, OH 43560-2731
(419) 885-3403
(419) 885-3401
Mailing address
5600 MONROE ST, BLDG B, SUITE 106, SYLVANIA, OH 43560-2731
(419) 885-3403
(419) 885-3401
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35042675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027630
ANTHEM BCBS
OH
01
—
00058
PARAMOUNT HEALTHCARE
OH
01
—
1560520
MI MEDICAID
MI
05
—
2809269
—
OH
01
—
298402332001
MEDICAL MUTUAL
OH
Enumeration date
07/26/2006
Last updated
05/09/2008
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