Provider Demographics
NPI:1083648075
Name:KRIE, AMY K (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:KRIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55440-0043
Mailing Address - Country:US
Mailing Address - Phone:612-863-0200
Mailing Address - Fax:612-262-4258
Practice Address - Street 1:800 E 28TH ST STE 404
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-0200
Practice Address - Fax:612-863-0235
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD5837207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN79G08KROtherBLUE CROSS
SD2444613OtherARAZ/ AMERICA'S PPO
SD5837OtherDAKOTACARE
CAXPY205862Medicaid
SD3600669OtherMEDICA
SD4993807OtherBLUE CROSS
MN642440600Medicaid
P00460965OtherRR MEDICARE
SD250915OtherMIDLANDS CHOICE
MN79G08KROtherCC SYSTEMS/ BLUE PLUS
SD57105V008OtherWPS TRICARE
MN92411422903OtherPRIMEWEST
IA2731976Medicaid
SD407191047575OtherPREFERRED ONE
SD370624200OtherDEPT OF LABOR
NE46022474336Medicaid
SDHP69356OtherHEALTHPARTNERS
SD57105V008OtherWPS TRICARE