Provider Demographics
NPI:1922098425
Name:CROWSER, AARON J (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:J
Last Name:CROWSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54702-1510
Mailing Address - Country:US
Mailing Address - Phone:612-389-7110
Mailing Address - Fax:
Practice Address - Street 1:610 30TH AVE W
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-3426
Practice Address - Country:US
Practice Address - Phone:320-466-3414
Practice Address - Fax:320-763-7883
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48439207Q00000X
MN63045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN63045OtherMN LICENSE
P00713338OtherRR MEDICARE
WI34803300Medicaid
MN1922098425OtherNPI
MN1922098425OtherNPI
MNBC9393214OtherDEA
I46464Medicare UPIN