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Individual
DR. JOHN WILLIAM CROM
Active
Individual
DR. JOHN WILLIAM CROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002940
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231588
CHIROCARE ID
MN
01
—
2940
MN LICENSE NUMBER
MN
01
—
3K196CR
BCBS MN
MN
Enumeration date
03/20/2007
Last updated
07/08/2007
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