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Individual

MR. DUANE H OTTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-1800
(763) 236-1805
Mailing address
CHILDREN'S HEALTH CARE 5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5691
(952) 992-6917

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP0474
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
CNP0474
MN

Other

Enumeration date
08/23/2006
Last updated
07/21/2022
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