NPI 1114018223

Samuel W Criswell, DPM

Practitioner Podiatrist Grand Forks, ND

Practice location

Address: 1000 S Columbia Rd, Grand Forks, ND 58201-4032
Phone: (701) 780-6000
Mailing address: PO Box 6002, Grand Forks, ND 58206-6002

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 28 (ND)

Other Podiatrist providers in North Dakota →

Registry record

NPI: 1114018223
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2006
Record last updated: 25 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.