Rotty, Mark V

Rotty, Mark V is an individual health care provider with primary practice located at 1210 1St St W , Hastings MN 55033-1147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rotty, Mark V can be contacted via phone (651) 438-1800.

Contact Information

Primary practice address
1210 1St St W Hastings MN 55033-1147
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30177 Minnesota

Profile Details

NPI number 1811956766
LBN Legal business name Rotty, Mark V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 11th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811956766 NPPES
Minnesota MEDICAID 718592800

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