Individual
DONALD DWIGHT WOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4502
(612) 863-5697
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
12214
ND
207V00000X
Obstetrics & Gynecology Physician
40621
MN
207VM0101X
Maternal & Fetal Medicine Physician
12214
ND
207VM0101X
Maternal & Fetal Medicine Physician
Primary
40621
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913019500
—
MN
Enumeration date
03/24/2006
Last updated
03/11/2021
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