Marijo Laurene Botten, DO | |
701 Hewitt Blvd, Red Wing, MN 55066-2848 | |
(651) 267-5000 | |
Not Available |
Full Name | Marijo Laurene Botten |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 701 Hewitt Blvd, Red Wing, 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 |
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-fairmont |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
---|---|
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 Po Box 860912, Minneapolis, MN 55486-0912 Ph: (651) 267-5000 | Marijo Laurene Botten, DO 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 |
Carrie Wojick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Eric C Mollgaard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Dr. Said Haider Al Tawil, M.D., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
John L Goeppinger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Fairview Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Thomas Joseph Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 Fax: 651-345-1151 | |
Dr. Bradley L Houston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Anne Enanga Liwonjo, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 |