Organization
RUSSELL W. CRAIG DO, PC
Active
Other names
INSTITUTE FOR EAR NOSE AND THROAT SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL WAYNE CRAIG D.O., F.A.O,C.O. (OWNER)
(586) 412-0900
Entity
Organization
Contact information
Practice address
17901 HALL RD, MACOMB, MI 48044-4557
(586) 412-0900
(586) 412-9762
Mailing address
17901 HALL RD, MACOMB, MI 48044-4557
(586) 412-0900
(586) 412-9762
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
RC011400
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
RC011400
MI
Other
Enumeration date
08/20/2007
Last updated
05/24/2012
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