Dr CRAIG A T VICKSTROM MD is a male medical professional, specializing in Family Medicine. He graduated in 2000 from University Of Iowa College Of Medicine.
BARAGA COUNTY MEMORIAL HOSPITAL
18341 US HWY 41
LANSE
MI
499468024
Tel: 9065243320
| Npi | 1265541486 |
| Pac Id | 0042101727 |
| Professional Enrollment Id | I20051205000721 |
| Last Name | VICKSTROM |
| First Name | CRAIG |
| Middle Name | A T |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | BARAGA COUNTY MEMORIAL HOSPITAL |
| Group Practice Pac Id | 7416866611 |
| Number Of Group Practice Members | 14 |
| Line 1 Street Address | 18341 US HWY 41 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LANSE |
| State | MI |
| Zip Code | 499468024 |
| Phone Number | 9065243320 |
| Hospital Affiliation Ccn 1 | 231307 |
| Hospital Affiliation Lbn 1 | BARAGA COUNTY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 230108 |
| Hospital Affiliation Lbn 2 | UP HEALTH SYSTEM PORTAGE |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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