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Individual

WESLEY O OFSTEDAL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
102 SATHER DR, FOSSTON, MN 56542-1531
(218) 435-1212
(218) 435-1302
Mailing address
PO BOX 506, FOSSTON, MN 56542-0506
(218) 435-1212
(218) 435-1302

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24827
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106086
MEDICA #
MN
01
10731
SIOUX VALLEY #
MN
01
142313
UCARE #
MN
05
17792
MN
01
2F664OF
MNBS #
MN
01
603478
AMERICA'S PPO/ARAZ#
MN
01
6473
NDBS #
MN
01
D48856
UPIN #
01
DA9071015606
PREFERRED ONE #
MN
01
HP19582
HEALTHPARTNERS #
MN
01
MN100033
LHS #
MN
Enumeration date
06/18/2006
Last updated
07/09/2007
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