Individual
MISS KELLI OSTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42795
WI
208000000X
Pediatrics Physician
Primary
5507
SD
208000000X
Pediatrics Physician
55411
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6761770
—
SD
Enumeration date
11/01/2006
Last updated
12/11/2015
Update your record
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