Healthcare Provider Details

I. General information

NPI: 1932655289
Provider Name (Legal Business Name): MAGGIE PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

PO BOX 13054
MINNEAPOLIS MN
55414-5054
US

V. Phone/Fax

Practice location:
  • Phone: 612-208-2993
  • Fax: 951-556-6653
Mailing address:
  • Phone: 612-208-2993
  • Fax: 951-556-6653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: