Crewdson, Gregory

Crewdson, Gregory is an individual health care provider with primary practice located at 1725 Legacy Pkwy E Ste 100 , Maplewood MN 55109-5434. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Crewdson, Gregory can be contacted via phone (952) 260-1381.

Contact Information

Primary practice address
1725 Legacy Pkwy E Ste 100 Maplewood MN 55109-5434
Phone: (952) 260-1381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X DO-05402 Iowa
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X DO-05402 Iowa
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 72348 Minnesota

Profile Details

NPI number 1144647132
LBN Legal business name Crewdson, Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Jun 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144647132 NPPES
Iowa MEDICAID 1144647132

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