Individual
MARY ANNE OBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, MAILSTOP 11503C, SAINT PAUL, MN 55101-2502
(651) 254-2303
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 114003
MN
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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