Provider Demographics
NPI:1154700201
Name:MEIERS, CRAIG
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:MEIERS
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:CRAIG
Other - Middle Name:AARON
Other - Last Name:MEIERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:701 16TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377
Mailing Address - Country:US
Mailing Address - Phone:701-330-7887
Mailing Address - Fax:701-330-7887
Practice Address - Street 1:701 16TH AVE N
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377
Practice Address - Country:US
Practice Address - Phone:701-330-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN690722085R0204X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology