Provider Demographics
NPI:1477533255
Name:MORGENSTERN, CRAIG (DO)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:MORGENSTERN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8940 LAKE FLORA DR
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39335-9572
Mailing Address - Country:US
Mailing Address - Phone:601-679-2232
Mailing Address - Fax:601-679-3232
Practice Address - Street 1:NAVAL BRANCH HEALTH CLINIC
Practice Address - Street 2:1801 FULLER ROAD, SUITE A-01, BLDG 367
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39309-0001
Practice Address - Country:US
Practice Address - Phone:601-679-2232
Practice Address - Fax:601-679-3232
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS18493207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine