Individual
DR. AMY RUTH HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2805 DODD RD, STE 100, EAGAN, MN 55121-2159
(651) 241-7733
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125061601
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
60057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125061601
ILLINOIS TEMPORARY PHYSICIAN LICENSE
IL
01
—
60057
MINNESOTA LICENSE
MN
Enumeration date
07/24/2012
Last updated
11/10/2020
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