Marijo Laurene Botten, DO | |
101 Martin Luther King Dr, Mankato, MN 56001-6460 | |
(507) 594-6500 | |
Not Available |
Full Name | Marijo Laurene Botten |
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Gender | Female |
Speciality | Family Medicine |
Location | 101 Martin Luther King Dr, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962145995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 74652 (Minnesota) | Primary |
207Q00000X | Family Medicine | 32594 (Minnesota) | Secondary |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
Mailing Address | Practice Location Address |
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Marijo Laurene Botten, DO 101 Martin Luther King Dr, Mankato, MN 56001-6460 Ph: (507) 594-6500 | Marijo Laurene Botten, DO 101 Martin Luther King Dr, Mankato, MN 56001-6460 Ph: (507) 594-6500 |
Sangil Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-254-6121 | |
Alyssa L Stitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main Street, Mankato Clinic, Mankato, MN 56002 Phone: 507-625-1811 | |
Michael B Rath, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1809 Adams St, Mankato Clinic @ Adams Street, Mankato, MN 56001 Phone: 507-625-1811 | |
Richard J Peller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1421 Premier Dr, Mankato Clinic, Mankato, MN 56001 Phone: 507-625-1811 | |
Corina Narvaez Jacob, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Martin Luther King Dr, Mankato, MN 56001 Phone: 507-385-6500 | |
Artika Misra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Bryan P Pucik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002 Phone: 507-625-1811 |