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Individual

CODY CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13911 RIDGEDALE DR STE 404B, MINNETONKA, MN 55305-1777
(952) 932-9012
Mailing address
1020 IRONWOOD AVE NW, WADENA, MN 56482-1020
(218) 371-8898

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2383699
MN
367500000X
Certified Registered Nurse Anesthetist
R39886
ND

Other

Enumeration date
01/11/2019
Last updated
07/13/2022
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