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NPI Code Detail

MEDICARE: CHRISTIAN NEUROLOGY ASSOCIATES OF MINNESOTA, PA

MEDICARE: CHRISTIAN NEUROLOGY ASSOCIATES OF MINNESOTA, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1376591792
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN NEUROLOGY ASSOCIATES OF MINNESOTA, PA
Provider Business Mailing Address
First Line : 3920 13TH AVE E
Second Line :
City : HIBBING
State : MN
Zip : 55746-3675
Country : US
Telephone Number : 218-263-7540
Fax Number : 866-732-0699
Provider Business Practice Location Address
First Line : 901 9TH ST N
Second Line : SUITE 317
City : VIRGINIA
State : MN
Zip : 55792-2348
Country : US
Telephone Number : 218-748-7701
Fax Number : 218-748-7703
Authorized Official
Title or Position : OWNER
Name : DR. KEVIN E COWENS SR.
Credential : M.D.
Telephone Number : 218-748-7701
Provider Enumeration Date : 05/05/2006
Last Update Date : 08/22/2020

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Directions to “CHRISTIAN NEUROLOGY ASSOCIATES OF MINNESOTA, PA ” Practice Location

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