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Individual

DR. GREGORY CREWDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1725 LEGACY PKWY E STE 100, MAPLEWOOD, MN 55109-5434
(952) 260-1381
Mailing address
7235 OHMS LN, EDINA, MN 55439-2148
(952) 260-1381

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
72348
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
DO-05402
IA
208VP0014X
Interventional Pain Medicine Physician
Primary
72348
MN
208VP0014X
Interventional Pain Medicine Physician
DO-05402
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144647132
IA
Enumeration date
03/27/2014
Last updated
10/29/2025
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