Provider Demographics
NPI:1477522639
Name:SENG, JOHN E (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:SENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 E 26TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4526
Mailing Address - Country:US
Mailing Address - Phone:612-884-6300
Mailing Address - Fax:612-884-6363
Practice Address - Street 1:910 E 26TH ST
Practice Address - Street 2:STE 200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4526
Practice Address - Country:US
Practice Address - Phone:612-884-6300
Practice Address - Fax:612-884-6363
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN39217207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3600038OtherMEDICA
MN42A45SEOtherBLUE CROSS BLUE SHIELD
WI32278500Medicaid
MN768341OtherAMERICA'S PPO
MNHP22252OtherHEALTHPARTNERS
MN115289OtherUCARE MN
MN01016472OtherPREFERRED ONE
MN218872400Medicaid
MN830005003Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MN768341OtherAMERICA'S PPO
MN820000015Medicare ID - Type UnspecifiedMN MEDICARE