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Individual

DOROTHY A OSTERHAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
30665
KY
207ZP0101X
Anatomic Pathology Physician
01055834A
IN
207ZP0101X
Anatomic Pathology Physician
Primary
30665
KY
207ZP0101X
Anatomic Pathology Physician
35067013
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35067013
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0181897
OH
05
200214200B
IN
01
220022767
RAILROAD MEDICARE
05
64306657
KY
Enumeration date
10/27/2005
Last updated
09/20/2018
Update your record

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