Individual
MATTHEW OSEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1221 W LAKE ST STE 200, MINNEAPOLIS, MN 55408
(612) 824-1036
Mailing address
1221 W LAKE ST STE 200, MINNEAPOLIS, MN 55408
(612) 824-1036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0022993
CO
183500000X
Pharmacist
Primary
122687
MN
183500000X
Pharmacist
RPH6193
ND
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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