Individual
MR. RANDALL ANDREW BOTTELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
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
1744P3200X
Prosthetics Case Management
Primary
—
MS
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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