| NPI | 1730546672 |
|---|---|
| Doing Business As | CROWN MEDICAL SUPPORT SERVICES CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOYCE IHIOMA ONYEKABA Medical Director 612-978-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MN 36657) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2024-02-26 |