Individual
CRAIG ALBERT MOHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(269) 321-7546
(269) 321-1705
Mailing address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(269) 321-7546
(269) 321-1705
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301059919
MI
207ND0101X
MOHS-Micrographic Surgery Physician
4301059919
MI
207NS0135X
Procedural Dermatology Physician
4301059919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3464999
—
MI
Enumeration date
05/02/2006
Last updated
01/31/2023
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