Individual
MICHAEL L BOTTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28486
WI
207L00000X
Anesthesiology Physician
40354
IA
207L00000X
Anesthesiology Physician
52942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31590600
—
WI
Enumeration date
06/09/2005
Last updated
08/12/2014
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