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

Ronovan Lavaine Ottenbacher, MD

Individual provider Internal Medicine Physician · NPI 1548516032

Ronovan Lavaine Ottenbacher, MD is an Internal Medicine Physician in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2012.

Licensed in
ND
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 13056 (ND)

Record details

NPI number1548516032
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2012
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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