# CROWN MEDICAL SUPPORT SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crown Medical Support Services Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730546672
- **Authorized official:** DR. JOYCE IHIOMA ONYEKABA M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (612) 978-3783

## Contact information

- **Practice address:** 1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
- **Practice address phone:** (612) 978-3783
- **Practice address fax:** (612) 872-4343
- **Mailing address:** 1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
- **Mailing address phone:** (612) 978-3783
- **Mailing address fax:** (612) 872-4343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 36657 | MN | Yes |

## Other

- **Enumeration date:** 01/22/2016
- **Last updated:** 02/26/2024