Individual
DR. JOSE CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(888) 999-2386
Mailing address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21686
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
21686
MN
Other
Enumeration date
12/15/2005
Last updated
08/28/2017
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