Individual
BENJAMIN KOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
314 CLIFTON AVE STE C101, MINNEAPOLIS, MN 55403-3235
(651) 335-6534
Mailing address
10681 SMETANA RD APT 106, MINNETONKA, MN 55343-8083
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1992
MN
Other
Enumeration date
03/09/2022
Last updated
04/05/2024
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