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Individual

DAVID BOTROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7235 OHMS LN, EDINA, MN 55439-2148
(952) 841-2345
(952) 841-2346
Mailing address
7235 OHMS LN, EDINA, MN 55439-2148
(952) 841-2345

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14353
MN

Other

Enumeration date
09/14/2020
Last updated
11/30/2023
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