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Individual

DR. THOMAS CRAIG WINEGARDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7945 STONE CREEK DR, STE 130, CHANHASSEN, MN 55317-4561
(952) 241-4050
(952) 241-4049
Mailing address
7945 STONE CREEK DR, STE 130, CHANHASSEN, MN 55317-4561
(952) 241-4050
(952) 241-4049

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35322
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518367
MEDICA
MN
05
313368100
MN
01
ST729WI
BCBS OF MN
MN
Enumeration date
11/17/2005
Last updated
01/04/2010
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