Russell Wayne Craig
Otolaryngology/Facial Plastic Surgery
17901 Hall Rd
Macomb Twp
, Michigan 48044
Russell Wayne Craig
Otolaryngology/Facial Plastic Surgery
17901 Hall Rd
Macomb Twp
, Michigan 48044
(586) 412-9767
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Russell Wayne Craig
- 17901 Hall Rd
- Macomb Twp, MI
- Zip : 48044
- Fax : (586) 412-9767
- Phone : (586) 412-0900
Second Address
- Russell Wayne Craig
- 17901 Hall Rd
- Macomb Twp, MI
- Zip : 48044
- Fax : (586) 412-9767
- Phone : (586) 412-0900
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101011400 | MI |
National Provider Identifier
| NPI | 1508979436 |
|---|---|
| Provider Name | Russell Wayne Craig |
| First Address | Macomb Twp, MI 48044 |
| Second Address | Macomb Twp, MI 48044 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2006 |
| Last Update Date | 14/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3385222 | (05) | MI |
| 5500330 | BCBS OF MI (01) | MI |
| F54927 | (02) |
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.