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Individual

DR. RAYMOND CHARLES CROISSANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6533 DREW AVE S, EDINA, MN 55435-2103
(952) 927-7138
(952) 924-4021
Mailing address
6533 DREW AVE S, EDINA, MN 55435-2103
(952) 927-7138
(952) 924-4021

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19945
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166865000
MN
Enumeration date
11/30/2005
Last updated
10/24/2011
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