Individual
TERRANCE CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME149245
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
06/04/2021
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