Individual
DONALD C PUTZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN STREET, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674 MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35305
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112219
UCARE
MN
01
—
1202177
MEDICA
MN
01
—
1723107
AMERICAS PPO
MN
01
—
1M362PU
BCBS
MN
01
—
370005416
RR MEDICARE
—
01
—
41084933956001C079
CHAMPUS
—
05
—
579800100
—
MN
05
—
938332
—
IA
01
—
HP25963
HEALTH PARTNERS
MN
01
—
NA2951023854
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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