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Dr. Michael John Bothof, DC
Chiropractor in Prior Lake, Minnesota
NPI 1477622132

Michael John Bothof is a Chiropractor based in Lakeville, MN. Michael John Bothof practices in Prior Lake, MN and has the professional credentials of DC. The NPI Number for Michael John Bothof is 1477622132 and holds a License No. 3631 (Minnesota).

The current practice location address for Michael John Bothof is 16154 Main Ave Se Ste 134A, Prior Lake, MN and can be reached out via phone at 952-447-3000 and via fax at 952-447-3561.

Location: 16154 Main Ave Se Ste 134A, Prior Lake, MN, 55044-6310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477622132
Provider Name
Michael John Bothof
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
16154 Main Ave Se Ste 134A, Prior Lake, MN, 55044-6310
Phone Number
952-447-3000
Fax Number
952-447-3561
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44-02426 01 MN MEDICA PROVIDER #
870G2BO 01 MN BLUE CROSS BLUE SHIELD MN
HP58905 01 MN HEALTH PARTNERS ID#
642613100 05 MN
44-02425 01 MN MEDICA
640618 01 MN ACN CHIROCARE
institution
Provider Business Practice Location Address Details
Address
16154 Main Ave Se Ste 134A
City
Prior Lake
State
Minnesota
Zip
55372-4815
Phone Number
952-447-3000
Fax Number
952-447-3561
person
Provider Business Mailing Address Details
Address
16154 Main Ave Se Ste 134A
City
Prior Lake
State
Minnesota
Zip
55372-4815
Phone Number
952-447-3000
Fax Number
952-447-3561
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3631 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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