Individual
CRAIG RICARDO SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
103 DR JOHN C SHELTON BLVD, YPSILANTI, MI 48197-5412
(734) 487-5007
(734) 487-5259
Mailing address
103 DR JOHN C SHELTON BLVD, YPSILANTI, MI 48197-5412
(734) 487-5007
(734) 487-5259
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3297390
—
MI
01
—
480025231
MEDICARE RAILROAD
MI
01
—
4858154280
BCBS
MI
Enumeration date
10/23/2006
Last updated
02/25/2013
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