Individual
DAVID R CRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 INVESTMENT DR, SUITE 200, TROY, MI 48098-6365
(248) 267-5050
(248) 267-5051
Mailing address
4600 INVESTMENT DR, SUITE 200, TROY, MI 48098-6365
(248) 267-5050
(248) 267-5051
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301050248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00631E
HEALTH ALLIANCE PLAN
MI
01
—
060018401
MEDICARE RAILROAD
MI
01
—
0606317371
BLUE CROSS BLUE SHIELD OF MI
MI
05
—
2798550
—
MI
Enumeration date
11/16/2005
Last updated
05/20/2008
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