Individual
DR. JOHN WILLIAM CROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
215 N 2ND AVE, SUITE 1, PROCTOR, MN 55810-2230
(218) 722-4265
(218) 722-4265
Mailing address
215 N 2ND AVE, SUITE 1, PROCTOR, MN 55810-2230
(218) 722-4265
(218) 722-4265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002940
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231588
CHIROCARE ID
MN
01
—
2940
MN LICENSE NUMBER
MN
01
—
3K196CR
BCBS MN
MN
Enumeration date
03/20/2007
Last updated
07/08/2007
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