Healthcare Provider Details

I. General information

NPI: 1720313646
Provider Name (Legal Business Name): CRAIG B KARSAMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 OAK ST
BIG RAPIDS MI
49307-2048
US

IV. Provider business mailing address

605 OAK ST
BIG RAPIDS MI
49307-2048
US

V. Phone/Fax

Practice location:
  • Phone: 231-796-8691
  • Fax: 231-592-4494
Mailing address:
  • Phone: 231-796-8691
  • Fax: 231-592-4494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301045123
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: