Organization
WILLOW TREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R ENGLE (CLINIC MANAGER)
(320) 905-1445
Entity
Organization
Contact information
Practice address
345 SAINT PETER ST APT 1411, SAINT PAUL, MN 55102-3949
(320) 441-8661
Mailing address
345 SAINT PETER ST APT 1411, SAINT PAUL, MN 55102-3949
(320) 905-1445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
05/06/2026
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