Organization
CHARLES P CRAIG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES POE CRAIG MEDICAL DOCTOR (OWNER)
(734) 528-9111
Entity
Organization
Contact information
Practice address
4870 W CLARK RD, SUITE 204, YPSILANTI, MI 48197-1104
(734) 528-9111
(734) 528-9082
Mailing address
4870 W CLARK RD, SUITE 204, YPSILANTI, MI 48197-1104
(734) 528-9111
(734) 528-9082
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
CC052386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4414481
—
MI
Enumeration date
02/05/2010
Last updated
02/05/2010
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