Individual
DR. AMY JEAN OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S MAPLE ST, RIDGEVIEW MEDICAL CENTER, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-6539
Mailing address
500 S MAPLE ST, RIDGEVIEW MEDICAL CENTER, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-6539
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52320
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18843
RESIDENT PERMIT
MN
Enumeration date
05/05/2008
Last updated
11/05/2010
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