Individual
MRS. JACQUELINE S OSTERHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3779
Mailing address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9324
MN
Other
Enumeration date
03/08/2006
Last updated
12/30/2009
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