Organization
BOTTELSON ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL ANDREW BOTTELSON BS (OWNER)
(952) 881-2778
Entity
Organization
Contact information
Practice address
601 W 98TH ST, BLOOMINGTON, MN 55420-4715
(952) 881-2778
(952) 881-2821
Mailing address
601 W 98TH ST, BLOOMINGTON, MN 55420-4715
(952) 881-2778
(952) 881-2821
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
MN
Other
Enumeration date
01/19/2007
Last updated
07/21/2022
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