Otto, Michael F

Otto, Michael F is an individual health care provider with primary practice located at 1833 2Nd Ave S-Mail Stop 39300A Riverway Clinic - Anoka, Anoka MN 55303-2432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Otto, Michael F can be contacted via phone (763) 587-4400.

Contact Information

Primary practice address
1833 2Nd Ave S-Mail Stop 39300A Riverway Clinic - Anoka Anoka MN 55303-2432
Phone: (763) 587-4400
Fax: (763) 587-4205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25200 Minnesota

Profile Details

NPI number 1750355541
LBN Legal business name Otto, Michael F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Dec 1st, 2011 - about 14 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 1750355541 NPPES
Minnesota MEDICAID 698002300

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