Individual
DR. BRENNAN J BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
58301
MN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
58301
MN
Other
Enumeration date
06/25/2013
Last updated
09/21/2021
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