Individual
ANDREW M OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
450 LAUREL ST STE A, DES MOINES, IA 50314-3045
(515) 247-8400
Mailing address
450 LAUREL ST STE A, DES MOINES, IA 50314-3045
(515) 247-8400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
105262
IA
363A00000X
Physician Assistant
4989-23
WI
363AS0400X
Surgical Physician Assistant
105262
IA
363AS0400X
Surgical Physician Assistant
4989-23
WI
Other
Enumeration date
02/26/2020
Last updated
01/11/2021
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