Organization
CROWN MEDICAL CENTER
Active
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
Update your record
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