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1295706620
NICHOLAS CARL BOETTICHER
EAGAN, MN
NPI
1295706620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MN 46944)
Enumeration Date
2006-02-01
Last Update Date
2014-05-20
Business Address
-- NICHOLAS CARL BOETTICHER M.D.
1185 TOWN CENTRE DR
EAGAN, MN 55123-1187
Phone number: 612-871-1145
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Mailing Address
-- NICHOLAS CARL BOETTICHER M.D.
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone number: 612-871-1145
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