Individual
HEIDI A OTTENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3179
MN
Other
Enumeration date
08/29/2009
Last updated
02/16/2017
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