Individual
DEBORAH MAY CROKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35629
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27507500
—
MN
01
—
35629
MN MEDICAL LICENSE
MN
Enumeration date
03/07/2006
Last updated
07/24/2012
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