Individual
FREDERICK W OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, DEPARTMENT OF RADIOLOGY, MMC 292, MINNEAPOLIS, MN 55455-0341
(612) 626-8827
Mailing address
420 DELAWARE ST SE, DEPARTMENT OF RADIOLOGY, MMC 292, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43225
MN
Other
Enumeration date
07/10/2006
Last updated
08/23/2007
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