Individual
JANE OSTLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 1ST ST SE, MAYVILLE, ND 58257-1518
(701) 788-4500
(701) 788-4500
Mailing address
600 1ST ST SE, MAYVILLE, ND 58257-1518
(701) 788-4500
(701) 788-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11491
ND
207Q00000X
Family Medicine Physician
TRL10930
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15151
—
ND
Enumeration date
06/16/2008
Last updated
09/12/2011
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