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Individual

DR. RUTH C OSBORNE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01038580A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000184357
ANTHEM BLUE CROSS BLUE SH
01
85657
GEISINGER HEALTH PLAN
Enumeration date
10/05/2005
Last updated
07/08/2007
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