Michael John Bothof D.C.

NPI 1477622132 - Chiropractor - 111N00000X

NPI Details
NPI 1477622132
Gender Male
Enumeration Date 11/07/2006
Last Updated 06/24/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
16154 MAIN AVE SE STE 134A
PRIOR LAKE MN, 55372-4815, US
Phone (952) 447-3000
Fax (952) 447-3561
Business Location
LAKEVILLE MN, 55044-6310, US
Phone (952) 953-4740
Taxonomy Code 111N00000X
License State Minnesota
License Number 3631
Remove 1477622132 NPI Number

According to our database, Dr. Michael John Bothof D.C. NPI is 1477622132, taxonomy code is 111N00000X and license number is 3631, license state is located at Minnesota. Michael John Bothof D.C. physically located at 16154 Main Ave Se Ste 134a, Prior Lake MN, 55372-4815. NPI Number Michael John Bothof D.C. has the Individual type.

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1477622132 NPI number is provided on an as is basis without warranty of any kind. 1477622132 is maintained by the National Plan & Provider Enumeration System. The contents of Michael John Bothof D.C. are for informational purposes only.