Individual
CRAIG EUGENE SPONSELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3235 E MICHIGAN AVE, JACKSON, MI 49202-3971
(517) 787-3280
(517) 787-9680
Mailing address
3235 E MICHIGAN AVE, JACKSON, MI 49202-3971
(517) 787-3280
(517) 787-9680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001243
MI
Other
Enumeration date
05/06/2006
Last updated
07/08/2007
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