Individual
MARY CRACIUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1985 GRATIOT BLVD, SUITE 2A, MARYSVILLE, MI 48040-2215
(810) 364-5050
(810) 364-5688
Mailing address
1985 GRATIOT BLVD, SUITE 2A, MARYSVILLE, MI 48040-2215
(810) 364-5050
(810) 364-5688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4388505
—
MI
05
—
4737867
—
MI
Enumeration date
02/22/2006
Last updated
01/17/2011
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