Individual
JEFFREY C CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98 SHERRY AVENUE, PARK FALLS, WI 55552
(715) 762-2484
(715) 762-7503
Mailing address
98 SHERRY AVENUE, PARK FALLS, WI 55552
(715) 762-2484
(715) 762-7503
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39840
WI
207Q00000X
Family Medicine Physician
39840
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34377300
—
WI
01
—
39840
STATE LICENSE NUMBER
WI
Enumeration date
05/24/2006
Last updated
04/10/2024
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