Organization
CROWN CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE A BRUGMAN ARNP (OWNER)
(712) 580-4570
Entity
Organization
Contact information
Practice address
337 11TH ST SW, SPENCER, IA 51301-5801
(712) 580-4570
(712) 580-4573
Mailing address
337 11TH ST SW, SPENCER, IA 51301-5801
(712) 580-4570
(712) 580-4573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A053063
IA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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