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Individual

MR. ANDREW DENNIS BETLACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
280 SMITH AVE N STE 101, SAINT PAUL, MN 55102-2420
(651) 291-9000
(651) 291-8894
Mailing address
280 SMITH AVE N STE 101, SAINT PAUL, MN 55102-2420
(651) 291-9000
(651) 291-8894

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1153
MN
224P00000X
Prosthetist
1153
MN

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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