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 Date2025-03-03
Business Address
RONOVAN LAVAINE OTTENBACHER M.D.
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
Mailing Address
RONOVAN LAVAINE OTTENBACHER M.D.
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: