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Organization

CROWN MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOYCE IHIOMA ONYEKABA M.D (DIRECTOR)
(612) 978-3783
Entity
Organization

Contact information

Practice address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 871-4354
(612) 872-4343
Mailing address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 871-4354
(612) 872-4343

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
209405-6
MN
363LP2300X
Primary Care Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A)41153
MHP
MN
Enumeration date
10/05/2012
Last updated
10/05/2012
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