Individual
MR. BRIAN WILLIAM PUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
6200 SHINGLE CREEK PKWY STE 455, BROOKLYN CENTER, MN 55430-2178
(763) 503-8560
(763) 503-8563
Mailing address
15873 CRANE ST NW, ANDOVER, MN 55304-4560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3322
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021025
CIGNA
MN
01
—
141966
U CARE
MN
01
—
62-50561
MEDICA UBH
MN
01
—
657T1PU
BCBS MN
MN
01
—
990991031581
BHP PREFERRED 1
MN
01
—
HP31888
HEALTH PARTNERS
MN
Enumeration date
11/30/2006
Last updated
07/08/2007
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