Individual
ANNIKA MARIE VAN OOSBREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(612) 578-8182
Mailing address
1011 DIANA ST, CHARLESTON, SC 29407-6403
(612) 578-8182
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LL90079
SC
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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