RONOVAN LAVAINE OTTENBACHER

FARGO, ND
NPI1548516032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ND  13056)
Enumeration Date2012-08-02
Last Update Date2015-10-21
Business Address
-- RONOVAN LAVAINE OTTENBACHER M.D.
1707 GOLD DR S STE 101 1707 GOLD DR S 101
FARGO, ND 58103-6413
Phone number: 701-280-2033
Mailing Address
-- RONOVAN LAVAINE OTTENBACHER M.D.
1707 GOLD DR S STE 101 INTERNAL MEDICINE ASSOCIATES, LTD
FARGO, ND 58103-6413
Phone number: 701-280-2033
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