Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 59002 | MN |
Y | 2080P0202X | Pediatric Cardiologist | DR.0060218 | CO |
NPI | 1275829749 |
---|---|
Provider Name | Adam M Putschoegl |
First Address | Minneapolis, MN 55404-4518 |
Second Address | Minneapolis, MN 55404-4518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 13/01/2022 |