Crystal New Hope Medical Clinic INC

NPI #1366628554 in Crystal, Minnesota

Provider Information

NPI Number: 1366628554
Entity Type: Organization
Organization Name: Crystal New Hope Medical Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: Jan 17, 2008
Last Updated: Jan 8, 2013

Practice Location

Address: 3501 DOUGLAS DR N
City: Crystal
State: Minnesota
ZIP Code: 55422-2415
Phone: (763) 535-9601

Authorized Official

Name: ROXANNE M URBASHICH
Title: OFFICE MANAGER
Phone: (763) 535-9601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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