Individual
MR. CHAD THOMAS OSGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3900 BETHEL DR, SAINT PAUL, MN 55112-6902
(651) 638-6535
Mailing address
200 BURKE AVE W, ROSEVILLE, MN 55113-6620
(651) 488-5301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1418
MN
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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