JOHN BOETTGER
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1053807719- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 15350 ENGLISH AVE, APPLE VALLEY, MN, 55124
- Phone
- (952) 431-8500
Specialties & Taxonomies
Physician Assistant
Primary License: MN #12718
All Addresses
MAILING
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN, 554254516