Individual
NATHAN OSTLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 626-2916
Mailing address
2450 RIVERSIDE AVE, RPB550 - 8961B, MINNEAPOLIS, MN 55454
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
79667
MN
Other
Enumeration date
03/29/2022
Last updated
07/01/2025
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