Crystal Twynham MD PLC
Crystal Twynham MD PLC is a Medical Specialty Clinic/Center in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.
- Licensed in
- MN
- In the registry since
- 2011
Practice location Address checks out
15552 68th Pl NMaple Grove, MN 55311-3291
Phone: (931) 237-2265
Fax: (612) 594-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 39691 (MN) |
|---|
Record details
| NPI number | 1962707398 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crystal Twynham — Owner · (931) 237-2265 |
| NPI enumerated | January 15, 2011 |
| Last updated in NPPES | June 1, 2015 |
| Mailing address | 15552 68th Pl N, Maple Grove, MN 55311-3291 |