Organization
RAYMOND C CROISSANT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND CROISSANT (OWNER)
(952) 924-4038
Entity
Organization
Contact information
Practice address
6533 DREW AVE S, EDINA, MN 55435-2103
(952) 927-7138
Mailing address
6533 DREW AVE S, EDINA, MN 55435-2103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166865000
—
MN
Enumeration date
04/03/2014
Last updated
04/03/2014
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