Doctor Name: | DR. HEATHER ANN CRAIG |
NPI Number: | 1073627642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 36003270 |
Business Practice Address: | 21360 Center Ridge Rd Suite 200 Rocky River, OH - 441163277 |
Business Phone Number: | 4403335888 |
Business Fax Number: | 4403336766 |
Mailing Address: | 21360 Center Ridge Rd, Suite 200 ROCKY RIVER |
State: | OH |
Postal Code: | 441163277 |
Phone Number: | 4403335888 |
Fax Number: | 4403336766 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36003270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |