Individual
MISTY A OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2120 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 531-8558
(419) 531-8798
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5001549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070838
—
OH
Enumeration date
07/11/2005
Last updated
11/03/2023
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