CRYSTAL TWYNHAM MD PLC

MAPLE GROVE, MN
NPI1962707398
Entity TypeOrganization
Authorized ContactCRYSTAL ULANI TWYNHAM
Owner
931-237-2265
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
(Licence: MN  39691)
Enumeration Date2011-01-15
Last Update Date2015-06-01
Business Address
CRYSTAL TWYNHAM MD PLC
15552 68TH PL N
MAPLE GROVE, MN 55311-3291
Phone number: 931-237-2265
Mailing Address
CRYSTAL TWYNHAM MD PLC
15552 68TH PL N
MAPLE GROVE, MN 55311-3291
Phone number: 931-237-2265