Individual
ANDREW N NOTTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2831 SNELLING AVE N, ROSEVILLE, MN 55113-1712
(651) 765-5900
(651) 765-5901
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 967-6620
(651) 765-5901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38038
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165213300
—
MN
Enumeration date
02/17/2006
Last updated
11/03/2020
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