Crown Medical 245g Program | |
1925 1st Ave S Minneapolis MN 55403-3724 | |
(612) 978-3783 | |
(612) 354-7719 |
Full Name | Crown Medical 245g Program |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1925 1st Ave S, Minneapolis, Minnesota |
Authorized Official Name and Position | Chike Orizu Onyekaba (PROGRAMS COORDINATOR) |
Authorized Official Contact | 6128714354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crown Medical 245g Program 1925 1st Ave S Minneapolis MN 55403-3724 Ph: (612) 978-3783 | Crown Medical 245g Program 1925 1st Ave S Minneapolis MN 55403-3724 Ph: (612) 978-3783 |
NPI Number | 1598451239 |
---|---|
Provider Enumeration Date | 04/14/2023 |
Last Update Date | 02/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598451239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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