Individual
CRAIG KANICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 HEMMETER RD, SAGINAW, MI 48603-3944
(989) 799-2100
(989) 799-2637
Mailing address
2100 HEMMETER RD, SAGINAW, MI 48603-3944
(989) 799-2100
(989) 799-2637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802088101
MI
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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