Basic Information
| Provider Information | |||||||||
| NPI: | 1477522639 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SENG | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 910 E 26TH ST | ||||||||
| Address2: | STE 200 | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554044526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6128846300 | ||||||||
| FaxNumber: | 6128846363 | ||||||||
| Practice Location | |||||||||
| Address1: | 910 E 26TH ST | ||||||||
| Address2: | STE 200 | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554044526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6128846300 | ||||||||
| FaxNumber: | 6128846363 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2006 | ||||||||
| LastUpdateDate: | 10/14/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 39217 | MN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 3600038 | 01 | MN | MEDICA | OTHER | 42A45SE | 01 | MN | BLUE CROSS BLUE SHIELD | OTHER | 32278500 | 05 | WI | MEDICAID | 768341 | 01 | MN | AMERICA'S PPO | OTHER | HP22252 | 01 | MN | HEALTHPARTNERS | OTHER | 115289 | 01 | MN | UCARE MN | OTHER | 01016472 | 01 | MN | PREFERRED ONE | OTHER | 218872400 | 05 | MN | MEDICAID |