Cracium, Mary

Cracium, Mary is an individual health care provider with primary practice located at 1985 Gratiot Blvd Suite 2A, Marysville MI 48040-2215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cracium, Mary can be contacted via phone (810) 364-5050.

Contact Information

Primary practice address
1985 Gratiot Blvd Suite 2A Marysville MI 48040-2215
Phone: (810) 364-5050
Fax: (810) 364-5688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101006996 Michigan

Profile Details

NPI number 1790750685
LBN Legal business name Cracium, Mary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790750685 NPPES
Michigan MEDICAID 4388505
Michigan MEDICAID 4737867

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