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General NPI Number Information
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NPI Number | 1912947151
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Entity Type | Individual
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Provider Name | MARVIN D CRAIG M.D. PC
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 4220 LUNA PIER RD
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City | LUNA PIER
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State | MI
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Zip | 48157-9796
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Country | US
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Telephone | 734-243-9400
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Fax | 734-317-7476
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Provider Business Mailing Address
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Address Line | 4220 LUNA PIER RD
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City | LUNA PIER
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State | MI
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Zip | 48157-9796
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Country | US
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Telephone | 734-317-7474
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Fax | 734-317-7476
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301053651
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License Number State | MI
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