Individual
MARGARET A WALLENFRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 SMITH AVE N, SUITE 200 NASSEFF SPECIALTY CENTER, SAINT PAUL, MN 55102-2533
(651) 241-6550
(651) 241-6586
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
37056
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37056
MEDICAL LICENSE
MN
Enumeration date
05/03/2006
Last updated
11/18/2011
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