Individual
CRAIG A GUDAKUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2720 S WASHINGTON AVE, SUITE 300, LANSING, MI 48910-2800
(517) 487-8255
(517) 487-2059
Mailing address
B415 W FEE HALL, EAST LANSING, MI 48824-1315
(517) 353-8470
(517) 432-1074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS008749L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015577580004
—
PA
05
—
1821064528
—
MI
Enumeration date
02/23/2006
Last updated
10/19/2010
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