Individual
MR. CRAIG JAY BUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2515 WHITE BEAR AVE N, SUITE A11, MAPLEWOOD, MN 55109-5155
(651) 229-5466
Mailing address
359 E PARK ST, PO BOX 22, FALMOUTH, MI 49632-5102
(231) 878-6363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10487
MN
225100000X
Physical Therapist
PT60416104
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0318779
L & I
WA
01
—
0318810
L & I
WA
01
—
0318815
L & I
WA
01
—
0318818
L & I
WA
Enumeration date
09/25/2013
Last updated
08/08/2016
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