Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Wade Botker, MD

Individual provider Family Medicine Physician · NPI 1295026532

Grant Wade Botker, MD is a Family Practice in Ortonville, Minnesota. Graduated from University of Minnesota Medical School in 2011, 15 years ago. Practices with Ortonville Area Health Services, a 12-clinician group and accepts Medicare assignment. Licensed in Minnesota and South Dakota.

Years since qualifying
15
Trained at
University of Minnesota Medical School
Licensed in
MN, SD
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 Eastvold Ave
Ortonville, MN 56278-1133
Phone: (320) 839-6157
Fax: (320) 839-3851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 57981 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 9144 (SD)

Record details

NPI number1295026532
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2011
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address450 Eastvold Ave, Ortonville, MN 56278-1252

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2011 (15 years in practice)
Group practice Ortonville Area Health Services — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ortonville