Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB BOTTELBERGHE
ActiveJACOB BOTTELBERGHE is a Physician Assistant healthcare provider located in MARSHALL, Minnesota. NPI 1346894748 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARSHALL, MN
Registration Details
- NPI Number
- 1346894748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2019 (6.9097773377031 yrs)
- Last Updated
- Jul 25, 2019
Practice Information
- Address
-
300 S BRUCE STMARSHALL, MN, 562581934Browse MN providers · Browse ZIP 56258
- Phone
- 5075379165
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MARSHALL, MN
| Name | Credential | NPI |
|---|---|---|
| CRAIG R MAKI | PAC | 1649246950 |
| KRISTIN M WEGNER | PA | 1396712758 |
| TIMOTHY L LARSON | PA-C | 1982630828 |
| JOHN R. K. KASS | PA-C | 1821351255 |
| MS. LAURA ANNE DORMAN | PA-C | 1841604063 |
| MISS KATE MARIE HEGNA | PA-C | 1013436450 |
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.