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Individual

DR. MATTHEW D PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2512 SOUTH 7TH STREET, SUITE R102, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55454
(612) 273-9400
Mailing address
2512 SOUTH 7TH STREET, SUITE R102, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55454
(612) 273-9400

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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