MEDICARE: MARGARET CRAW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1427874403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET CRAW

Provider Business Mailing Address
First Line	:	3953 24TH AVE
Second Line	:
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-4193
Country	:	US
Telephone Number	:	810-363-9337
Fax Number	:	810-400-5979

Provider Business Practice Location Address
First Line	:	3953 24TH AVE
Second Line	:
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-4193
Country	:	US
Telephone Number	:	616-331-5700
Fax Number	:	810-400-5979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	05/11/2026

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Directions to “ MARGARET CRAW ” Practice Location

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