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Individual

CRAIG HUTCHINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4917
(765) 502-4023
Mailing address
PO BOX 78838, DETROIT, MI 48278-0838
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01055831
IN
207L00000X
Anesthesiology Physician
Primary
01055831A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200375250
IN
Enumeration date
08/04/2006
Last updated
03/15/2021
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