Rolla Crandall, TM

NPI #1801029491 in Brooklyn Park, Minnesota

Provider Information

NPI Number: 1801029491
Entity Type: Individual
Name: Rolla Crandall, TM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife, Lay
Credential: TM
Enumeration Date: Aug 28, 2009
Last Updated: Aug 28, 2009

Practice Location

Address: 7033 IDAHO AVE N
City: Brooklyn Park
State: Minnesota
ZIP Code: 55428-1781
Phone: (612) 735-0396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife, Lay	175M00000X	Primary

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