Individual
MICHELLE RENEE OMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 3RD AVE N, AURORA, MN 55705-1247
(218) 229-3311
Mailing address
5211 HIGHWAY 110, AURORA, MN 55705-1522
(218) 229-3311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43752
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240765500
—
MN
Enumeration date
07/08/2006
Last updated
11/03/2016
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