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Individual

TODD OSTERBUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
705 RILEY HOSPITAL DR # 4250, INDIANAPOLIS, IN 46202-5109
(904) 238-6097
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
85002260
IL
363A00000X
Physician Assistant
Primary
PA9105319
FL
363AS0400X
Surgical Physician Assistant
10002411A
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00175081
RAILROAD PIN
IL
Enumeration date
01/16/2007
Last updated
02/14/2025
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