| 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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