Provider Demographics
NPI:1467948422
Name:ADAMSKI, CRAIG RYAN (CGC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:RYAN
Last Name:ADAMSKI
Suffix:
Gender:M
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 W LISBON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-3939
Mailing Address - Country:US
Mailing Address - Phone:608-669-8898
Mailing Address - Fax:
Practice Address - Street 1:5230 S STATE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-7936
Practice Address - Country:US
Practice Address - Phone:855-293-2639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
15447OtherABGC