| NPI | 1598451239 |
|---|---|
| Doing Business As | CROWN MEDICAL 245G PROGRAM |
| Entity Type | Organization |
| Authorized Contact | CHIKE ORIZU ONYEKABA Programs Coordinator 612-871-4354 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2024-02-26 |