Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 43370 | MN |
Y | 207VX0201X | Gynecologic Oncologist | 43370 | MN |
NPI | 1336116391 |
---|---|
Provider Name | Matthew P Boente |
First Address | Edina, MN 55435-2281 |
Second Address | Edina, MN 55435-2281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 13/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0703893 | MEDICA (01) | MN |
1027340 | PREFERREDONE (01) | MN |
1282470 | AMERICA'S PPO (01) | MN |
151532 | UCARE MN (01) | MN |
34056200 | (05) | WI |
529T1BO | BLUE CROSS BLUE SHIELD (01) | MN |
564142000 | (05) | MN |
E18771 | (02) | MN |
HP32764 | HEALTHPARTNERS (01) | MN |