Organization
CRESCENTERRA HEALTH CENTER, PA
Active
Organization
CRESCENTERRA HEALTH CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E RUTHERFORD DC (PRESIDENT)
(651) 917-3990
Entity
Organization
Contact information
Practice address
245 PRIOR AVE N, SAINT PAUL, MN 55104-5163
(651) 917-3990
(651) 917-3922
Mailing address
245 PRIOR AVE N, SAINT PAUL, MN 55104-5163
(651) 917-3990
(651) 917-3922
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1853
MN
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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