Provider Demographics
NPI:1730368713
Name:CREPEAU, ALIXANDRA S (MD)
Entity type:Individual
Prefix:
First Name:ALIXANDRA
Middle Name:S
Last Name:CREPEAU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1875 WOODWINDS DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2298
Mailing Address - Country:US
Mailing Address - Phone:651-686-6400
Mailing Address - Fax:651-714-1264
Practice Address - Street 1:1875 WOODWINDS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2298
Practice Address - Country:US
Practice Address - Phone:651-686-6400
Practice Address - Fax:651-714-1264
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2014-01-13
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Provider Licenses
StateLicense IDTaxonomies
MN52966207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology