Minnesota Natural Medicine

NPI #1376996132 in Vadnais Heights, Minnesota

Provider Information

NPI Number: 1376996132
Entity Type: Organization
Organization Name: Minnesota Natural Medicine
Primary Specialty: General Practice
Enumeration Date: Jul 18, 2016
Last Updated: Jul 18, 2016

Practice Location

Address: 3485 WILLOW LAKE BLVD
Address 2: #100
City: Vadnais Heights
State: Minnesota
ZIP Code: 55110-5152
Phone: (651) 484-5567

Authorized Official

Name: JONATHAN OTTEN, N.D.
Title: PHYSICIAN
Phone: (651) 484-5567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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