Individual
DAVID R CRAGG
Active
Individual
DAVID R CRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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