Individual
CRAIG STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
1901 BRUNSWICK AVE STE 201, CHARLOTTE, NC 28207-2809
(704) 348-4488
Mailing address
23778 CAYUGA AVE, HAZEL PARK, MI 48030-2706
(810) 874-1452
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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