Individual
SAMANTHA ANN CROSSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 KEENAN DR, INTERNATIONAL FALLS, MN 56649-2181
(218) 283-9431
Mailing address
2501 KEENAN DR, INTERNATIONAL FALLS, MN 56649-2181
(218) 283-9431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413987900
—
MN
Enumeration date
06/25/2006
Last updated
05/06/2011
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