Dr. Brennan J Boettcher
Physical Medicine & Rehabilitation Doctor Sports Medicine
200 1st St Sw
Rochester
, Minnesota 55905-0001
Dr. Brennan J Boettcher
Physical Medicine & Rehabilitation Doctor Sports Medicine
200 1st St Sw
Rochester
, Minnesota 55905-0001
(507) 284-2511
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Brennan J Boettcher
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
Second Address
- Dr. Brennan J Boettcher
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 58301 | MN |
| Y | 2081S0010X | Sports Medicine | 58301 | MN |
| Y | 213ES0000X | Sports Medicine | 58301 | MN |
National Provider Identifier
| NPI | 1124468962 |
|---|---|
| Provider Name | Dr. Brennan J Boettcher |
| First Address | Rochester, MN 55905-0001 |
| Second Address | Rochester, MN 55905-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2013 |
| Last Update Date | 21/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.