Individual
BRIAN MAURICE CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
502493
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2017
Last updated
03/11/2021
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