Ottenstroer, Dennis

Ottenstroer, Dennis is an individual health care provider with primary practice located at 3930 Cedar Grove Pkwy , Eagan MN 55122-1403. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ottenstroer, Dennis can be contacted via phone (651) 454-5661.

Contact Information

Primary practice address
3930 Cedar Grove Pkwy Eagan MN 55122-1403
Fax: (651) 454-5669
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1558 Minnesota

Profile Details

NPI number 1770588840
LBN Legal business name Ottenstroer, Dennis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 30th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770588840 NPPES
Minnesota MEDICAID 491523200

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