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Individual
CHRISTOPHER R CROASDALE
Active
Individual
CHRISTOPHER R CROASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33372-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770520843
—
WI
Enumeration date
05/31/2006
Last updated
11/06/2020
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