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Individual

ANDREW CHARLES OCKULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3545 HIGHWAY 61 N, VADNAIS HEIGHTS, MN 55110-5223
(651) 439-8807
(651) 439-0232
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
65557
MN
207X00000X
Orthopaedic Surgery Physician
71348-21
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
65557
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
71348-21
WI

Other

Enumeration date
07/02/2014
Last updated
01/21/2025
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