Individual provider · NPI-1

Crystal M Dexter, MD

Family Medicine · Coon Rapids, MN

NPI number1407851694
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1407851694
Entity type
Individual (NPI-1)
Name
Crystal M Dexter
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2005
Certification date
May 23, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine49295MNYes

Practice location

9055 Springbrook Dr Nw
Coon Rapids, MN 55433-5841

Phone 763-780-9155

Mailing address

9055 Springbrook Dr Nw
Coon Rapids, MN 55433-5841

Phone 763-780-9155

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