Provider Demographics
NPI:1154217404
Name:RAIHALA, MARGARET JO (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:JO
Last Name:RAIHALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CARLSON PKWY N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4444
Mailing Address - Country:US
Mailing Address - Phone:651-764-2709
Mailing Address - Fax:
Practice Address - Street 1:210 CARLSON PKWY N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55447-4444
Practice Address - Country:US
Practice Address - Phone:952-201-5101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN529140235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist