| Crown Medical Center Inc. | |
|
1925 1st Ave S Minneapolis MN 55403-3724 | |
| (612) 871-4354 | |
| (612) 872-4343 |
| Full Name | Crown Medical Center Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1925 1st Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Joyce Ihioma Onyekaba (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6128714354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Medical Center Inc. 1925 1st Ave S Minneapolis MN 55403-3724 Ph: (612) 871-4354 | Crown Medical Center Inc. 1925 1st Ave S Minneapolis MN 55403-3724 Ph: (612) 871-4354 |
| NPI Number | 1912947599 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912947599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 36657 (Minnesota) | Primary |
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