MARK L BOTTELSON OD

Dr MARK L BOTTELSON OD is a male medical professional, specializing in Optometry. He graduated in 1979 from Illinois College Of Optometry At Chicago.

Contact

1001 73RD ST VISION CTR
WINDSOR HEIGHTS
IA
503241311

Tel:

MARK L BOTTELSON OD Information

Npi 1689859704
Pac Id 7315985041
Professional Enrollment Id I20050421001461
Last Name BOTTELSON
First Name MARK
Middle Name L
Suffix
Gender M
Credential OD
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1979
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1001 73RD ST VISION CTR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WINDSOR HEIGHTS
State IA
Zip Code 503241311
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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