Individual
ELISE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1133 MEDINA RD STE 100, MEDINA, OH 44256-5913
(330) 239-4350
(330) 239-4584
Mailing address
1133 MEDINA RD STE 100, MEDINA, OH 44256-5913
(330) 239-4350
(330) 239-4584
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34.014914
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34.014914
OHIO MEDICAL LICENSE
OH
Enumeration date
04/28/2017
Last updated
07/14/2021
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