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Individual

CHRISTIAN M OGILVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2512 SOUTH 7TH STREET, MINNEAPOLIS, MN 55454
(612) 273-1177
(612) 273-7959
Mailing address
2450 RIVERSIDE AVE S., R200, MINNEAPOLIS, MN 55454
(612) 273-1177
(612) 273-7959

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
51520
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001960460
PA
Enumeration date
06/10/2006
Last updated
09/08/2015
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