Individual
CRAIG J MCMANAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PLLC
Contact information
Practice address
1011 S VAN DYKE RD, SUITE A, BAD AXE, MI 48413
(989) 269-5015
(989) 269-6601
Mailing address
1011 S VAN DYKE RD, SUITE A, BAD AXE, MI 48413
(989) 269-5015
(989) 269-6601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
CM012814
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2053200055
BCBS
MI
05
—
4238787
—
MI
Enumeration date
08/24/2006
Last updated
12/07/2009
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