Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Max Dutkin, MD

Individual provider Family Medicine Physician · NPI 1497166748

Max Dutkin, MD is a Family Practice in Apple Valley, Minnesota. Qualified in 2014, 12 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15290 Pennock Ln
Apple Valley, MN 55124-7163
Phone: (952) 853-8800
Fax: (952) 431-6966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 65682 (MN)

Record details

NPI number1497166748
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2014
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022
Mailing address8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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