Provider Demographics
NPI:1689602856
Name:SPEISER, CRAIG J (DO)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:J
Last Name:SPEISER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1085 NE GATEWAY CT NE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2406
Mailing Address - Country:US
Mailing Address - Phone:704-403-8320
Mailing Address - Fax:704-403-8321
Practice Address - Street 1:1085 NE GATEWAY CT NE
Practice Address - Street 2:SUITE 330
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2406
Practice Address - Country:US
Practice Address - Phone:704-403-8320
Practice Address - Fax:704-403-8321
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-03-25
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Provider Licenses
StateLicense IDTaxonomies
NC200501914207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC808034OtherPARTNERS MEDICARE CHOICE
NC1395302OtherCIGNA
NC189179OtherMEDCOST
NC5903891Medicaid
NC142JVOtherBCBS NC
NC7383843OtherAETNA
NCI54399Medicare UPIN
NC189179OtherMEDCOST