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Individual
MARY M AMON
Active
Individual
MARY M AMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37586
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-01066
MEDICA
MN
01
—
080062303
RR MEDICARE
MN
01
—
1048378
ARAZ
MN
01
—
114458
U CARE
MN
01
—
325101845
PRIME WEST
MN
05
—
526818400
—
MN
01
—
6T223AM
BLUE CROSS BLUE SHIELD
MN
01
—
HP21638
HEALTH PARTNERS
MN
01
—
MR1081007927
PREFERRED ONE
MN
Enumeration date
06/18/2006
Last updated
06/08/2022
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