Individual
MATTHEW P BOENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6545 FRANCE AVE S, SUITE 210, EDINA, MN 55435-2281
(952) 928-2900
(952) 928-2944
Mailing address
6545 FRANCE AVE S, SUITE 210, EDINA, MN 55435-2281
(952) 928-2900
(952) 928-2944
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
43370
MN
207VX0201X
Gynecologic Oncology Physician
Primary
43370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703893
MEDICA
MN
01
—
1027340
PREFERREDONE
MN
01
—
1282470
AMERICA'S PPO
MN
01
—
151532
UCARE MN
MN
05
—
34056200
—
WI
01
—
529T1BO
BLUE CROSS BLUE SHIELD
MN
05
—
564142000
—
MN
01
—
HP32764
HEALTHPARTNERS
MN
Enumeration date
03/08/2006
Last updated
10/13/2011
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