Individual
MR. JEFFREY WILLIAM OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5353 GAMBLE DRIVE SUITE 202, TEAM SPINE, ST. LOUIS PARK, MN 55416
(952) 697-5095
Mailing address
10544 LEE DR, EDEN PRAIRIE, MN 55347-4814
(612) 306-0167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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