Individual
MRS. MICHELLE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 N 84TH ST, OMAHA, NE 68114-4101
(402) 955-6300
Mailing address
3805 S 191ST ST, OMAHA, NE 68130-4302
(970) 556-3325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1801
NE
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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