Individual
DR. KEVIN J CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11607 N SPARROW LN, FOUNTAIN HILLS, AZ 85268-5045
(517) 402-5811
(480) 718-7651
Mailing address
11607 N SPARROW LN, FOUNTAIN HILLS, AZ 85268-5045
(517) 402-5811
(480) 718-7651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301072786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383694638
TAX ID
MI
05
—
4625913
—
MI
Enumeration date
01/23/2007
Last updated
01/13/2017
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