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Organization
OSLER MEDICAL GROUP INC
Active
Organization
OSLER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT METCALFE MD (OWNER)
(209) 846-9444
Entity
Organization
Contact information
Practice address
1330 NELSON AVE, SUITE C, MODESTO, CA 95350-5341
(209) 846-9444
(209) 844-0309
Mailing address
1330 NELSON AVE, SUITE C, MODESTO, CA 95350-5341
(209) 846-9444
(209) 844-0309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A65690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089790
—
CA
Enumeration date
01/02/2007
Last updated
06/11/2014
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