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Individual

KEVIN OSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2503
(952) 993-3180
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39182
MN

Other

Enumeration date
12/30/2005
Last updated
03/10/2021
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