Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WADE ROLLIN CRANDALL
Active Sole ProprietorMR. WADE ROLLIN CRANDALL is a Counselor healthcare provider located in COON RAPIDS, Minnesota. NPI 1649510587 is currently active in the NPPES registry. Verify at CMS.
Counselor · COON RAPIDS, MN
Registration Details
- NPI Number
- 1649510587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2013 (13.485521734765 yrs)
- Last Updated
- Feb 7, 2019
- License
-
CC00541 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3833 COON RAPIDS BLVD NW STE 120COON RAPIDS, MN, 554332599Browse MN providers · Browse ZIP 55433
- Phone
- 7637673350
- Fax
- 7637670912
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| JULIE IVERSON | — | 1730562919 |
| MATTHEW LEE SUTERA | — | 1265897011 |
| KYALIE TAYLOR | — | 1962387803 |
| KEVIN DAVIS | — | 1578428504 |
| JAEL MASI | — | 1396696829 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.