Individual
DR. THOMAS L CRAIG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 NOBLE RD, CLEVELAND HEIGHTS, OH 44112-1726
(216) 761-0330
(216) 761-0344
Mailing address
2225 NOBLE RD, CLEVELAND HEIGHTS, OH 44112-1726
(216) 761-0330
(216) 761-0344
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
35057208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496395
BLUE CROSS BLUE SHIELD
OH
05
—
0816915
—
OH
Enumeration date
07/08/2005
Last updated
08/18/2010
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