Individual
DR. MARY E OSTERLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 572-3617
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-073339
OH
207P00000X
Emergency Medicine Physician
Primary
42428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200541570
—
IN
05
—
2202440
—
OH
05
—
64035454
—
KY
Enumeration date
08/31/2006
Last updated
08/03/2015
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