Individual
DR. FREDERICK MICHAEL OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
(209) 754-3521
(209) 754-2682
Mailing address
768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
(209) 754-3521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G12852
CA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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