Organization
CROW WING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIS STARLLONE (OWNER)
(218) 251-6400
Entity
Organization
Contact information
Practice address
14603 GRAND OAKS DR, BAXTER, MN 56425-8743
(218) 251-6400
Mailing address
14603 GRAND OAKS DR, BAXTER, MN 56425-8743
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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