Otteman, Alec David

Otteman, Alec David is an individual health care provider with primary practice located at 1997 Sloan Pl Ste 17 , Maplewood MN 55117-2051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Otteman, Alec David can be contacted via phone (651) 772-6251.

Contact Information

Primary practice address
1997 Sloan Pl Ste 17 Maplewood MN 55117-2051
Phone: (651) 772-6251
Fax: (651) 294-9661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52024 Minnesota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 52024 Minnesota

Profile Details

NPI number 1619138849
LBN Legal business name Otteman, Alec David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Oct 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619138849 NPPES
Minnesota MEDICAID 1619138849

Popular Providers