NPI 1780887166 · live from the CMS NPI Registry
Jesse Cole Botker, MD
Orthopaedic Surgery in Mankato, MN. National Provider Identifier 1780887166, active.
NPI record
| NPI | 1780887166 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1431 Premier Dr, Mankato, MN 56001 |
| Practice phone | 507-386-6600 |
| Enumerated | June 6, 2007 |
| Last updated | July 22, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 17798 (MN) |
| Orthopaedic Surgery | 207X00000X | A107192 (CA) |
| Orthopaedic Surgery primary | 207X00000X | 52645 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.