Individual
DR. AMY SUE HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316-3123
(763) 236-0600
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041310
PREFERRED ONE
MN
01
—
1202907
MEDICA
MN
01
—
132025
UCARE MN
MN
05
—
206031100
—
MN
01
—
2156416
AMERICA'S PPO
MN
01
—
6607779
MEDICA UC
MN
01
—
7069631
AETNA
MN
01
—
833S9HE
BCBS OF MN
MN
01
—
HP42393
HEALTHPARTNERS
MN
Enumeration date
04/10/2006
Last updated
03/11/2021
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