Individual
CRYSTAL M DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49295
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125449
MEDICA
MN
01
—
1035384
PREFERRED ONE
MN
01
—
180463
UCARE MN
MN
05
—
34413400
—
WI
01
—
495L6FU
BCBS OF MN
MN
01
—
6610246
MEDICA URGENT CARE
MN
05
—
762614200
—
MN
01
—
HP39823
HEALTHPARTNERS
MN
Enumeration date
06/15/2005
Last updated
05/23/2023
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