Individual
SAMUEL W CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-6000
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
28
ND
Other
Enumeration date
09/27/2006
Last updated
10/25/2007
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