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Individual

DR. CRAIG NEWTON NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
15520 19 MILE RD, STE 480, CLINTON TWP, MI 48038-6332
(586) 228-1010
(586) 228-8570
Mailing address
15520 19 MILE RD, STE 480, CLINTON TWP, MI 48038-6332
(586) 228-1010
(586) 228-8570

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5101008301
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1155000415
BLUE CROSS/SHIELD IND PIN
MI
05
2570048
MI
05
4262942
MI
Enumeration date
06/16/2005
Last updated
09/10/2007
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