NPI 1003930124

Mark Leon Willenbring, MD

Practitioner Psychiatry Physician Saint Paul, MN

Practice location

Address: 745 Victoria St S, Saint Paul, MN 55102-4203
Phone: (202) 379-6736

Registered specialties (3)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 22040 (MN)

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Forensic Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence 22040 (MN)

Addiction Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0802X Licence 22040 (MN)

Registry record

NPI: 1003930124
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2007
Record last updated: 12 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.