Winegarden, Thomas Craig

Winegarden, Thomas Craig is an sole proprietor health care provider with primary practice located at 7945 Stone Creek Dr Ste 130, Chanhassen MN 55317-4561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Winegarden, Thomas Craig can be contacted via phone (952) 241-4050.

Contact Information

Primary practice address
7945 Stone Creek Dr Ste 130 Chanhassen MN 55317-4561
Phone: (952) 241-4050
Fax: (952) 241-4049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35322 Minnesota

Profile Details

NPI number 1194707828
LBN Legal business name Winegarden, Thomas Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Jan 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194707828 NPPES
Minnesota Other 1518367 MEDICA
Minnesota Other ST729WI MEDICA
Minnesota MEDICAID 313368100 MEDICA

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