Individual
COLE OSWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 656-7020
(320) 255-5714
Mailing address
1406 6TH AVE N, ST. CLOUD, MN 56303-1900
(320) 656-7020
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
10011
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
10011
MN
Other
Enumeration date
03/10/2023
Last updated
08/22/2024
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