Abigail R Boetticher in Minneapolis - Neurology With Special Qualifications In Child Neurology
Abigail R Boetticher - NPI 1730152034
Abigail R Boetticher is a Neurology With Special Qualifications In Child Neurology in Minneapolis, Minnesota. Abigail R Boetticher practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Abigail R Boetticher is 1730152034. The last update date is 2019-10-07.
Abigail R Boetticher's current location address is 2828 Chicago Ave South, Minneapolis, Minnesota. You can contact this provider via phone number 6128791000 and fax number 6128799116. The mailing address for Abigail R Boetticher is 2828 Chicago Ave South, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Abigail R Boetticher |
|---|---|
| Address | 2828 Chicago Ave South, Minneapolis, Minnesota |
| Phone Number | 6128791000 |
| Fax Number | 6128799116 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730152034 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2019-10-07 |
Provider Mailing Address Detail
| Address | 2828 Chicago Ave South |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554071320 |
| Phone Number | 6128791000 |
| Fax Number | 6128799116 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 46169 |
|
Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 871425800 | MN | -- |
Post Comment/ Review Below
What is the Abigail R Boetticher's 1730152034?
The Abigail R Boetticher's NPI (National Provider Identifier) Number is 1730152034. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Abigail R Boetticher?
The Abigail R Boetticher is physically situated at 2828 Chicago Ave South, in the city of Minneapolis, state of MN, with the postal code 554071320.
What is Abigail R Boetticher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Abigail R Boetticher is Neurology With Special Qualifications In Child Neurology, and the taxonomy code that classifies this field of practice is 2084N0402X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730152034 to Abigail R Boetticher?
The Abigail R Boetticher received its 1730152034 assignment from the Centers for Medicare & Medicaid Services on 2006-02-08.
When was the information related to Abigail R Boetticher most recently updated or refreshed?
The details pertaining to the Abigail R Boetticher, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-10-07.
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