Provider Demographics
NPI:1497831812
Name:SAWYER, CRAIG GEORGE (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:GEORGE
Last Name:SAWYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MN
Mailing Address - Zip Code:56352-1278
Mailing Address - Country:US
Mailing Address - Phone:320-256-4692
Mailing Address - Fax:320-256-4692
Practice Address - Street 1:109 S 1ST AVE W
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MN
Practice Address - Zip Code:56352-1278
Practice Address - Country:US
Practice Address - Phone:320-256-4692
Practice Address - Fax:320-256-4692
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0104OtherHEALTHSERVICES MANAGEMENT
MN231233OtherACN
MN4440042OtherCHIROCARE
MN62168SAOtherBC/BS
MNT92807Medicare UPIN