Healthcare Provider Details

I. General information

NPI: 1255918876
Provider Name (Legal Business Name): WILLIAM ANDREW ENGEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 WAYZATA BLVD STE 100
MINNETONKA MN
55305-1500
US

IV. Provider business mailing address

202 N CEDAR AVE STE 1
OWATONNA MN
55060-2306
US

V. Phone/Fax

Practice location:
  • Phone: 401-702-3821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number82803
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: