Phillip Martin Otterness

NPI #1154193639 in Minneapolis, Minnesota

Provider Information

NPI Number: 1154193639
Entity Type: Individual
Name: Phillip Martin Otterness
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Oct 26, 2023
Last Updated: Oct 26, 2023

Practice Location

Address: 3152 23RD AVE S APT 2
City: Minneapolis
State: Minnesota
ZIP Code: 55407-5573
Phone: (612) 321-8008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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