Provider Demographics
NPI:1063536308
Name:WINDENBURG, DENISE CHRISTINE (CCRC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:CHRISTINE
Last Name:WINDENBURG
Suffix:
Gender:F
Credentials:CCRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 E 28TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1199
Mailing Address - Country:US
Mailing Address - Phone:612-863-3816
Mailing Address - Fax:612-863-3771
Practice Address - Street 1:920 E 28TH ST STE 210
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1199
Practice Address - Country:US
Practice Address - Phone:612-863-3816
Practice Address - Fax:612-863-3771
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study