Craig Mirkin
Dental Public Health
3415 28th St
Port Huron
, Michigan 48060-6931
Craig Mirkin
Dental Public Health
3415 28th St
Port Huron
, Michigan 48060-6931
(810) 985-2150
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Craig Mirkin
- 3415 28th St
- Port Huron, MI
- Zip : 48060-6931
- Fax : (810) 985-2150
- Phone : (810) 984-5197
Second Address
- Craig Mirkin
- 3415 28th St
- Port Huron, MI
- Zip : 48060-6931
- Fax : (810) 985-2150
- Phone : (810) 984-5197
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 2901011180 | MI |
National Provider Identifier
| NPI | 1003983677 |
|---|---|
| Provider Name | Craig Mirkin |
| First Address | Port Huron, MI 48060-6931 |
| Second Address | Port Huron, MI 48060-6931 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4046170 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.