Individual
DR. JOSE RAMIL OBILLOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125
(651) 968-5200
Mailing address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
64960
MN
208100000X
Physical Medicine & Rehabilitation Physician
67602-20
WI
208100000X
Physical Medicine & Rehabilitation Physician
8633
SD
208100000X
Physical Medicine & Rehabilitation Physician
ME107218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6632600
—
SD
Enumeration date
07/18/2006
Last updated
03/19/2019
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