Provider Demographics
NPI:1972580454
Name:SOTTO, RAMON P (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:P
Last Name:SOTTO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:166 19TH ST S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-4654
Mailing Address - Country:US
Mailing Address - Phone:320-230-7788
Mailing Address - Fax:320-230-7789
Practice Address - Street 1:166 19TH ST S
Practice Address - Street 2:SUITE 101
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-4654
Practice Address - Country:US
Practice Address - Phone:320-230-7788
Practice Address - Fax:320-230-7789
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2013-07-11
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Provider Licenses
StateLicense IDTaxonomies
MN41090208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1972580454Medicaid
MN1972580454Medicaid