Individual
JEFFREY C CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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