Individual
DR. ALYSSE VICTORIA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 OSBORNE RD NE STE 255, FRIDLEY, MN 55432-2768
(763) 236-2500
Mailing address
500 OSBORNE RD NE STE 255, FRIDLEY, MN 55432-2768
(763) 236-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66283
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
06/28/2020
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