Individual
DR. WAYNE GREGG SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
VA MEDICAL CENTER (116B), ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417
(612) 467-4024
(612) 727-5964
Mailing address
2741 INGLEWOOD AVE S, ST LOUIS PARK, MN 55416-3929
(952) 929-4869
(612) 605-0108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3393
MN
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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