Individual
CRAIG G BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5600 MONROE ST, STE 106B, SYLVANIA, OH 43560-2728
(419) 885-3403
(419) 885-3401
Mailing address
5600 MONROE ST, STE 106B, SYLVANIA, OH 43560-2728
(419) 885-3403
(419) 885-3401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35042675
OH
207N00000X
Dermatology Physician
Primary
35042672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395666
—
OH
Enumeration date
05/31/2005
Last updated
05/20/2011
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