Individual
DR. JONATHAN OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
4657 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 493-1845
(651) 243-4232
Mailing address
4657 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 493-1845
(651) 243-4232
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1061
MN
Other
Enumeration date
09/19/2017
Last updated
08/10/2021
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