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NPI Code Detail

MEDICARE: KRISTA OSTERTAG

MEDICARE: KRISTA OSTERTAG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist9788MN

General Provider Information

NPI Number : 1063962256
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA OSTERTAG
Provider Business Mailing Address
First Line : 4570 VICTORIA ST N
Second Line :
City : SHOREVIEW
State : MN
Zip : 55126-5800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4570 VICTORIA ST N
Second Line :
City : SHOREVIEW
State : MN
Zip : 55126-5800
Country : US
Telephone Number : 651-621-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2016
Last Update Date : 05/18/2026

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Directions to “ KRISTA OSTERTAG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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