Crystal New Hope Medical Clinic INC
Family Medicine in Crystal, MN. Organization (NPI-2).
NPI number1366628554
StatusActive
Last updated in NPPESJan 8, 2013
Details
- NPI
- 1366628554
- Entity type
- Organization (NPI-2)
- Legal business name
- Crystal New Hope Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2008
- Last updated
- Jan 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- New Hope Crystal Medical Clinic (Doing Business As)
Practice location
3501 Douglas Dr NCrystal, MN 55422-2415
Phone 763-535-9601 · Fax 763-535-5601
Mailing address
3501 Douglas Dr NCrystal, MN 55422-2415
Phone 763-535-9601 · Fax 763-535-5601
Authorized official
Roxanne M Urbashich
Office Manager
7635359601
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