Whalio Doctors

NPI 1164400495

Craig Jon Vine, MD

Practitioner Psychiatry Physician St Paul, MN

Practice location

Address
2550 University Avenue West Suite 229n, St Paul, MN 55114
Phone
(651) 645-3115
Fax
(651) 645-2752

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 33712 (MN)

Registry record

NPI
1164400495
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jan 2006
Record last updated
10 Feb 2013

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.