IndividualActive
Richard Crockett, MD
NPI 1508993536 · Allergy & Immunology Physician · Mankato, MN
Provider details
- NPI number
- 1508993536
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 59877 (MN)
Practice location
1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 594-4700
Fax: (507) 594-4700
Mailing address
1025 Marsh St
Mankato, MN 56001-4752
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2025-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.