Individual
MICHAEL ALBERT WEITEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4104 LONGFELLOW AVE, MINNEAPOLIS, MN 55407-3439
(612) 584-2827
Mailing address
4104 LONGFELLOW AVE, MINNEAPOLIS, MN 55407-3439
(612) 584-2827
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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