Individual
MR. ROGER LEE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 11TH AVE NE, STEWARTVILLE, MN 55976-1589
(507) 533-9303
Mailing address
501 11TH AVE NE, STEWARTVILLE, MN 55976-1589
(507) 533-9303
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1028840-1-AFC
MN
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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