Individual
NICOLE OMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
347 SMITH AVE N, SUITE 302, SAINT PAUL, MN 55102-2387
(651) 220-6700
(651) 220-6807
Mailing address
347 SMITH AVE N, SUITE 302, SAINT PAUL, MN 55102-2387
(651) 220-6700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18021
MN
Other
Enumeration date
02/15/2007
Last updated
08/19/2008
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