Provider Demographics
NPI:1093972358
Name:WEINKAUF, MARGARET ADELE I
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ADELE
Last Name:WEINKAUF
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7888 12TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1001
Mailing Address - Country:US
Mailing Address - Phone:612-752-8370
Mailing Address - Fax:612-752-8351
Practice Address - Street 1:7888 12TH AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1001
Practice Address - Country:US
Practice Address - Phone:612-752-8370
Practice Address - Fax:612-752-8351
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health