Organization
CROWN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKE ONYEKABA (BUSINESS MANAGER)
(612) 871-4354
Entity
Organization
Contact information
Practice address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 871-4354
(612) 672-4343
Mailing address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 871-4354
(612) 672-4343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407266
MEDICA
MN
01
—
108584
HEALTHPARTNERS
MN
01
—
136548
UCARE
MN
01
—
438R4CR
BLUES
MN
01
—
A044153
METROPOLITAN HEALTH PLAN
MN
Enumeration date
04/03/2006
Last updated
08/22/2020
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