Abigail R Boetticher is a Minneapolis, Minnesota based neurologist who is specialized in Child Neurology. Active license number of Abigail R Boetticher is 46169 for Neurology in Minnesota. Her current practice location is 2828 Chicago Ave South, Suite 200, Minneapolis. Patients can reach her at 612-879-1000 or can fax her at 612-879-9116. Abigail R Boetticher is M.D. in Child Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1730152034. Abigail R Boetticher specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Profile:
Abigail R Boetticher speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Abigail R Boetticher
Specialization:
Child Neurology
Gender:
Female
Credentials:
M.D.
Practice Address:
2828 Chicago Ave South, Suite 200, Minneapolis, Minnesota, 55407-1320
Phone:
612-879-1000
Fax:
612-879-9116
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1730152034
NPI Enumeration Date:
08 Feb, 2006
NPI Last Update On:
07 Oct, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Abigail R Boetticher are as mentioned below.
License Number
Specialization
State
Status
46169
Neurology
Minnesota
Primary
46169
Child Neurology
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Abigail R Boetticher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
871425800
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Abigail R Boetticher 2828 Chicago Ave South, Suite 200 Minneapolis, Minnesota
Zip:
55407-1320
Phone Number:
612-879-1000
Fax Number:
612-879-9116
Patients can reach Abigail R Boetticher at 2828 Chicago Ave South, Suite 200, Minneapolis, Minnesota or can call to book an appointment on 612-879-1000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.