Provider Demographics
NPI:1669478384
Name:OSTER, ANGELA SUE (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:SUE
Last Name:OSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5851 DULUTH ST
Mailing Address - Street 2:STE 215
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-3956
Mailing Address - Country:US
Mailing Address - Phone:763-546-8422
Mailing Address - Fax:763-546-8114
Practice Address - Street 1:5851 DULUTH ST
Practice Address - Street 2:STE 215
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-3956
Practice Address - Country:US
Practice Address - Phone:763-546-8422
Practice Address - Fax:763-546-8114
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-04-23
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Provider Licenses
StateLicense IDTaxonomies
MN46602207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0801166OtherMEDICA CHOICE
MNP00152686OtherRAILROAD MEDICARE
MN690201400Medicaid
MN573R0OSOtherBCBS OF MN
MN0801166OtherMEDICA CHOICE
MN573R0OSOtherBCBS OF MN