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Organization

CRAIG J. MCMANAMAN D.O.PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG JAMES MCMANAMAN D.O. (OWNER/PHYSICIAN)
(989) 269-5015
Entity
Organization

Contact information

Practice address
1011 S VAN DYKE RD, SUITE A, BAD AXE, MI 48413-9630
(989) 269-5015
(989) 269-6601
Mailing address
1011 S VAN DYKE RD, SUITE A, BAD AXE, MI 48413-9630
(989) 269-5015
(989) 269-6601

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
CM012814
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4395920
MI
01
7605172
AETNA
MI
Enumeration date
05/08/2008
Last updated
03/21/2017
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