Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETTE HUNTER (LICENSING AND CREDENTIALING MANAGER)
(971) 500-2661
Entity
Organization
Contact information
Practice address
4399 S COLUMBIA RD STE 102, GRAND FORKS, ND 58201-2833
(971) 500-2661
Mailing address
4399 S COLUMBIA RD STE 102, GRAND FORKS, ND 58201-2833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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