Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT WADE BOTKER, M.D.
Active Sole ProprietorGRANT WADE BOTKER, M.D. is a Family Medicine healthcare provider located in ORTONVILLE, Minnesota. NPI 1295026532 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ORTONVILLE, MN
Registration Details
- NPI Number
- 1295026532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2011 (15.325202423919 yrs)
- Last Updated
- Feb 28, 2024
- Licenses
-
9144 (SD)57981 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 EASTVOLD AVEORTONVILLE, MN, 562781133Browse MN providers · Browse ZIP 56278
- Phone
- 3208396157
- Fax
- 3208393851
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in ORTONVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT S ROSS | MD | 1669431763 |
| ALLAN E ROSS | MD | 1538129622 |
| RONALD V BEYER | MD | 1154381523 |
| MS. STACY MARIE LONGNECKER | M.D. | 1538199468 |
| SUSAN M ANDERSEN | MD | 1831415694 |
| AMANDA MCMAHON | MD | 1346699741 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.