Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36003270 | OH |
NPI | 1073627642 |
---|---|
Provider Name | Dr. Heather Ann Craig |
First Address | Rocky River, OH 44116-3209 |
Second Address | Rocky River, OH 44116-3277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 28/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2268157 | (05) | OH |
U86146 | (02) |