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Individual

ANGELINA G AUSBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41796
MN
208000000X
Pediatrics Physician
41796
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0405874
MEDICA HEALTH PLANS
01
1024776
PREFERRED ONE
01
1089016
ARAZ GROUP AMERICAS PPO
01
127K8AU
BLUE CROSS BLUE SHIELD
01
156625300
MEDICAL ASSISTANCE
01
160518
UCARE
01
2129272
FIRST HEALTH PLAN
01
HP36173
HEALTH PARTNERS
01
P00054868
RAILROAD MEDICARE
Enumeration date
11/08/2005
Last updated
03/07/2023
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