OrganizationActive
Crystal Twynham MD PLC
NPI 1962707398 · Medical Specialty Clinic/Center · Maple Grove, MN
Provider details
- NPI number
- 1962707398
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Crystal Twynham, Owner
- License
- 39691 (MN)
Practice location
15552 68th Pl N
Maple Grove, MN 55311-3291
Phone: (931) 237-2265
Fax: (612) 594-8998
Mailing address
15552 68th Pl N
Maple Grove, MN 55311-3291
Registry dates
- Enumerated
- 2011-01-15
- Last updated
- 2015-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.