Individual
JACOB OSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1402 S GRAND BLVD # M260, SAINT LOUIS, MO 63104-1004
(314) 577-8750
Mailing address
8602 LAKE CLEARWATER LN APT 312, INDIANAPOLIS, IN 46240-7807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02007712A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
12/10/2024
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