Provider Demographics
NPI:1639862493
Name:FALWELL, MARGARET (MA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:FALWELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:FALWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1926 HAYES ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-4734
Mailing Address - Country:US
Mailing Address - Phone:479-747-9035
Mailing Address - Fax:
Practice Address - Street 1:15265 CARROUSEL WAY
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-1760
Practice Address - Country:US
Practice Address - Phone:952-443-4600
Practice Address - Fax:952-443-4604
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program