Provider Demographics
NPI:1982755443
Name:HUTCHINSON, CRAIG LEWIS (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:LEWIS
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5990 SHADOWLAWN CT
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-2378
Mailing Address - Country:US
Mailing Address - Phone:517-333-0968
Mailing Address - Fax:
Practice Address - Street 1:5990 SHADOWLAWN CT
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2378
Practice Address - Country:US
Practice Address - Phone:517-333-0968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301043788207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease