Individual
STEPHANIE W PUTZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 714-0200
(651) 714-0201
Mailing address
160 COUNTRY CLUB DR, MANKATO, MN 56001-9338
(507) 380-3644
(507) 345-1553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35972
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401916
MEDICA
MN
01
—
110103558
RR MEDICARE
—
01
—
121151
UCARE
MN
01
—
1966132
AMERICAS PPO
MN
01
—
1M944PU
BCBS
MN
01
—
410849339 56001 C077
CHAMPUS
—
05
—
958583400
—
MN
01
—
HP25864
HEALTH PARTNERS
MN
01
—
NA2951023855
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
03/13/2024
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