Individual
ANTHONY G BOTTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3123
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
29932
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600020
MEDICA HEALTH PLANS
—
01
—
1016389
PREFERRED ONE
—
01
—
122691
U CARE
—
01
—
140005376
RR MEDICARE
—
01
—
2113967
FIRST HEALTH PLAN
—
01
—
42Q67BO
BCBS
—
01
—
642898300
MEDICAL ASSISTANCE
—
01
—
772239
ARAZ GROUP AMERICAS PPO
—
01
—
HP26227
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
03/31/2016
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