Individual
WILLIAM RANDALL CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1500 BIRCHMONT DR NE, BEMIDJI STATE UNIVERSITY, BEMIDJI, MN 56601-2600
(218) 755-2769
(218) 755-2284
Mailing address
4213 CREST CT NE, BEMIDJI, MN 56601-6113
(218) 444-7968
(218) 755-2284
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1284
MN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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