Provider Demographics
NPI:1477815991
Name:FREY, CRAIG BRANTON (DPM)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:BRANTON
Last Name:FREY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:33790 BAINBRIDGE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2982
Mailing Address - Country:US
Mailing Address - Phone:440-903-1041
Mailing Address - Fax:440-600-2327
Practice Address - Street 1:33790 BAINBRIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2982
Practice Address - Country:US
Practice Address - Phone:440-903-1041
Practice Address - Fax:440-600-2327
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003734213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery