Individual
DR. KELLEN DOUGLAS OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
2501 W 84TH ST, BLOOMINGTON, MN 55431-1602
(952) 888-4777
Mailing address
2501 W 84TH ST, BLOOMINGTON, MN 55431-1602
(952) 888-4777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6307
MN
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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