| Crossroads Medical Centers Pa | |
|
14033 Commerce Ave Ne Prior Lake MN 55372-1438 | |
| (952) 447-1700 | |
| (952) 447-1708 |
| Full Name | Crossroads Medical Centers Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 14033 Commerce Ave Ne, Prior Lake, Minnesota |
| Authorized Official Name and Position | John A Rekow (ADMINISTRATOR) |
| Authorized Official Contact | 9523610529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Medical Centers Pa 14033 Commerce Ave Ne Prior Lake MN 55372 Ph: (952) 447-1700 | Crossroads Medical Centers Pa 14033 Commerce Ave Ne Prior Lake MN 55372-1438 Ph: (952) 447-1700 |
| NPI Number | 1447304886 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447304886 | NPI | - | NPPES |
| 51172CH | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 153 (Minnesota) | Primary |
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