Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1811173073 |
---|---|
Provider Name | Dr. Patricia Lynn Crotwell |
First Address | Sioux Falls, SD 57117-5039 |
Second Address | Sioux Falls, SD 57117-5039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 18/01/2008 |