NPI | 1215081468 |
---|---|
Former Legal Business Name | CROSSROADS MEDICAL CENTERS PA |
Entity Type | Organization |
Authorized Contact | JOHN A REKOW Administrator 952-361-0529 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 153) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |