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 |