Organization
CRYSTAL NEW HOPE MEDICAL CLINIC
Active
Parent organization
CRYSTAL NEW HOPE MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRYSTAL NEW HOPE MEDICAL CLINIC
Authorized official
MS. MARGIE L EVENS (CEO)
(320) 356-9141
Entity
Organization
Contact information
Practice address
3501 DOUGLAS DR N, CRYSTAL, MN 55422-2480
(763) 535-9601
(763) 535-5601
Mailing address
2904 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2234
(612) 782-0900
(612) 788-4930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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