DO Russell Wayne Craig, NPI 1508979436
Otolaryngology/Facial Plastic Surgery Physician in Macomb Twp, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508979436
NPI Entity Type Individual
Provider Name DO Russell Wayne Craig
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 17901 Hall Rd, Macomb Twp, MI, US
Provider Mailing Address 17901 Hall Rd, Macomb Twp, MI, US, 48044
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207YX0905X

Taxonomy Name Otolaryngology/Facial Plastic Surgery Physician
Classification

Otolaryngology

Group

Allopathic & Osteopathic Physicians

License No. 5101011400
License State MI
Description An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Business Address

DO Russell Wayne Craig
17901 Hall Rd

Macomb Twp, MI, US

Phone: 586-412-0900
Fax: 586-412-9767

Mailing Address

DO Russell Wayne Craig
17901 Hall Rd
Macomb Twp, MI, US
ZIP 48044
Phone: 586-412-0900
Fax: 586-412-9767

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5500330 MI BCBS OF MI 01
3385222 MI MEDICAID 05

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1659096923

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