Crystal New Hope Medical Clinic

NPI #1588004279 in Crystal, Minnesota

Provider Information

NPI Number: 1588004279
Entity Type: Organization
Organization Name: Crystal New Hope Medical Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: CRYSTAL NEW HOPE MEDICAL CLINIC
Primary Specialty: Family Medicine
Enumeration Date: Jun 27, 2013
Last Updated: Jun 27, 2013

Practice Location

Address: 3501 DOUGLAS DR N
City: Crystal
State: Minnesota
ZIP Code: 55422-2480
Phone: (763) 535-9601

Authorized Official

Name: MS. MARGIE L EVENS
Title: CEO
Phone: (320) 356-9141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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