Individual
KEVIN OSTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4263
Mailing address
1675 VAN WAGONER DR, SAGINAW, MI 48638-4488
(989) 274-5562
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704301549
MI
363LA2200X
Adult Health Nurse Practitioner
4704301549
MI
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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