NPI 1730152034 · live from the CMS NPI Registry
Abigail R Boetticher, M.D.
Psychiatry & Neurology, Neurology in Minneapolis, MN. National Provider Identifier 1730152034, active.
NPI record
| NPI | 1730152034 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407 |
| Practice phone | 612-879-1000 |
| Enumerated | February 8, 2006 |
| Last updated | October 7, 2019 |
| Sole proprietor | No |
| Other names | Abigail Bentch |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | 46169 (MN) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 46169 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.