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Individual

MR. CRAIG S STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
509 HAMACHER ST, STE. 204, WATERLOO, IL 62298-1592
(618) 939-4200
(618) 939-4256
Mailing address
509 HAMACHER ST STE 202, WATERLOO, IL 62298-1592
(618) 939-4200
(618) 939-4256

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000955
IL
363AM0700X
Medical Physician Assistant
085-000955
IL
363AM0700X
Medical Physician Assistant
114163
MO

Other

Enumeration date
08/09/2006
Last updated
01/31/2023
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