Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRAIG K. MATHESON, D.O.
Active Sole ProprietorFamily Medicine · SCOTTVILLE, MI
Registration Details
- NPI Number
- 1699763953
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2005 (20.589153525593 yrs)
- Last Updated
- Feb 12, 2021
- License
-
5101011416 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
821 W US HIGHWAY 10SCOTTVILLE, MI, 494549601Browse MI providers · Browse ZIP 49454
- Phone
- 2317572500
- Fax
- 2317579073
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.