Organization · Type 2 NPI
Crystal Twynham MD PLC
Medical Specialty Clinic/Center · Maple Grove, MN
Practice location
15552 68th Pl N
Maple Grove, MN 55311-3291
Fax (612) 594-8998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 39691 (MN) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1962707398
Crystal Twynham MD PLC's National Provider Identifier is 1962707398, issued on Jan 15, 2011. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Maple Grove, MN. The record was last updated on Jun 1, 2015.