Individual
DR. AMY M. PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 572-5710
(763) 569-6200
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43230
MN
208000000X
Pediatrics Physician
43230
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402234
MEDICA
MN
01
—
1024820
PREFERRED ONE
MN
01
—
1066911
AMERICA'S PPO
MN
01
—
140079
UCARE MN
MN
05
—
178427700
—
MN
01
—
6603919
MEDICA URGENT CARE
MN
01
—
7195170
AETNA INS
MN
01
—
89D82PU
BCBS OF MN
MN
01
—
HP30909
HEALTHPARTNERS
MN
Enumeration date
08/25/2006
Last updated
07/17/2012
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