Individual
CLINTON KREWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
(217) 365-2856
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07505
NC
363A00000X
Physician Assistant
Primary
085008235
IL
Other
Enumeration date
07/18/2008
Last updated
06/11/2021
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