CRYSTAL TWYNHAM MD PLC
NPI 1962707398
Clinic/Center - Medical Specialty in Maple Grove, MN

Active since January 15, 2011
15552 68TH PL N, MAPLE GROVE, MN 55311(931) 237-2265(612) 594-8998 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Twynham Md Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL TWYNHAM MD PLC (NPI 1962707398) is a healthcare organization registered as a medical specialty in Maple Grove, Minnesota and active in the NPI registry since January 2011. The organization lists Crystal Ulani Twynham, Owner, as its authorized official.

NPPES Registry Identity

NPI1962707398
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCRYSTAL TWYNHAM MD PLC
Location Address15552 68TH PL NMaple Grove, MN 55311-3291
Mailing Address15552 68th Pl NMaple Grove, MN 55311-3291 · (931) 237-2265 · Fax (612) 594-8998
Fax(612) 594-8998
Organization SubpartNo
Authorized OfficialCrystal Ulani TwynhamOwner · (931) 237-2265
Enumeration DateJanuary 15, 2011
Last NPPES UpdateJune 1, 2015
NPI 1962707398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in MN · 39691
Definition
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).
15552 68TH PL N, Maple Grove, MN 55311

Other Identifiers 2

Medicaid514517100MN
Medicare UPINF69382MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
15552 68TH PL N
MAPLE GROVE, MN 55311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Twynham MD Plc's NPI number?

The NPI number for Crystal Twynham MD Plc is 1962707398. It was assigned to this organization in the NPPES registry on January 15, 2011.

Where is Crystal Twynham MD Plc located?

Crystal Twynham MD Plc is located at 15552 68th Pl N, Maple Grove, MN 55311. The listed phone number is (931) 237-2265.

What is Crystal Twynham MD Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Crystal Twynham MD Plc was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.