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Individual

DR. MATTHEW D PUTNAM

Active
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Individual

DR. MATTHEW D PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32421
MN
207XS0106X
Orthopaedic Hand Surgery Physician
32421
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039593500
—
MN
01
—
09-74783
MEDICA PRIMARY
—
01
—
0925136
MEDICA CHOICE
—
01
—
1009276
PREFERREDONE
—
01
—
101544
UCARE
—
05
—
1978577
—
IA
01
—
23990
ARAZ
—
01
—
2T391PU
BLUECROSS BLUESHIELD
MN
05
—
31478800
—
WI
01
—
HP16991
HEALTHPARTNERS
—
Enumeration date
08/09/2006
Last updated
10/26/2012
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