Individual
ROBERTA OTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
221 3RD AVE SW, CLEARBROOK, MN 56634-4241
(218) 776-3508
(218) 776-3507
Mailing address
221 3RD AVE SW, CLEARBROOK, MN 56634
(218) 776-3508
(218) 776-3508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R117641-5
MN
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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