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

Russell Wayne Craig is a Otolaryngology/Facial Plastic Surgery Physician based in Macomb Twp, MI and is specialized in Otolaryngology/Facial Plastic Surgery. Russell Wayne Craig practices in Macomb Twp, MI and has the professional credentials of DO. The NPI Number for Russell Wayne Craig is 1508979436 and holds a License No. 5101011400 (Michigan).

The current practice location address for Russell Wayne Craig is 17901 Hall Rd, Macomb Twp, MI and can be reached out via phone at 586-412-0900 and via fax at 586-412-9767.

Location: 17901 Hall Rd, Macomb Twp, MI, 48044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508979436
Provider Name
Russell Wayne Craig
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
17901 Hall Rd, Macomb Twp, MI, 48044
Phone Number
586-412-0900
Fax Number
586-412-9767
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5500330 01 MI BCBS OF MI
3385222 05 MI
institution
Provider Business Practice Location Address Details
Address
17901 Hall Rd
City
Macomb Twp
State
Michigan
Zip
48044
Phone Number
586-412-0900
Fax Number
586-412-9767
person
Provider Business Mailing Address Details
Address
17901 Hall Rd
City
Macomb Twp
State
Michigan
Zip
48044
Phone Number
586-412-0900
Fax Number
586-412-9767
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
5101011400 (Michigan)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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