Organization
OSSEO CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA ANN KLATT (OFFICE MANAGER)
(763) 425-2117
Entity
Organization
Contact information
Practice address
226 CENTRAL AVE, OSSEO, MN 55369-1245
(763) 425-2117
(763) 425-3935
Mailing address
226 CENTRAL AVE, OSSEO, MN 55369-1245
(763) 425-2117
(763) 425-3935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111342
UCARE
MN
01
—
13161OS
BLUE SHIELD
MN
01
—
4862
HEALTH PARTNERS
MN
01
—
98340
PREFERRED ONE
MN
01
—
CP7777
RAILROAD MEDICARE
MN
Enumeration date
09/25/2006
Last updated
08/22/2020
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