Healthcare Provider Details

I. General information

NPI: 1669133203
Provider Name (Legal Business Name): MARGARET MARIE MCCABE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET HARINGS

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD MN
55109-1190
US

IV. Provider business mailing address

1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD MN
55109-1190
US

V. Phone/Fax

Practice location:
  • Phone: 651-326-4327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number14411
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: