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NPI Code Detail

MEDICARE: MICHAEL VINCENT SENTKEWITZ

MEDICARE: MICHAEL VINCENT SENTKEWITZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224L00000XPedorthist202957MN

General Provider Information

NPI Number : 1992648257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL VINCENT SENTKEWITZ
Provider Business Mailing Address
First Line : 2415 N ADAMS ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-3406
Country : US
Telephone Number : 612-314-5286
Fax Number :
Provider Business Practice Location Address
First Line : 11318 86TH AVE N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4528
Country : US
Telephone Number : 612-314-5286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ MICHAEL VINCENT SENTKEWITZ ” Practice Location

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