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Contact Information

JEFFREY J KOTULSKI, DO
45 TETON LANE
MANKATO, MN56001
 Phone: 507-388-7488
 Fax: 507-388-5680
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEFFREY J KOTULSKI · (Male)

NPI # 1740386176
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/15/2006
Last updated 02/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 37416
  • MN Medicaid 560320000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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