Provider Demographics
NPI:1275540544
Name:DUNCAN, CRAIG A (DO)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:810 S MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-2290
Mailing Address - Country:US
Mailing Address - Phone:231-627-4364
Mailing Address - Fax:231-627-7758
Practice Address - Street 1:810 S MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-2290
Practice Address - Country:US
Practice Address - Phone:231-627-4364
Practice Address - Fax:231-627-7758
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101014492208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4185736Medicaid
MIM97860001Medicare ID - Type Unspecified
MI4185736Medicaid