Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 32421 | MN |
N | 207XS0106X | Orthopaedic Hand Surgeon | 32421 | MN |
NPI | 1285644328 |
---|---|
Provider Name | Dr. Matthew D Putnam |
First Address | Minneapolis, MN 55454 |
Second Address | Minneapolis, MN 55454 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 26/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039593500 | (05) | MN |
0925136 | MEDICA CHOICE (01) | |
09-74783 | MEDICA PRIMARY (01) | |
1009276 | PREFERREDONE (01) | |
101544 | UCARE (01) | |
1978577 | (05) | IA |
23990 | ARAZ (01) | |
2T391PU | BLUECROSS BLUESHIELD (01) | MN |
31478800 | (05) | WI |
B35596 | (02) | |
HP16991 | HEALTHPARTNERS (01) |