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NPI Code Detail

MEDICARE: JOSEPHINE O'GARA MD

MEDICARE: JOSEPHINE O'GARA MD
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
1207R00000XInternal Medicine Physician68649WI
2207R00000XInternal Medicine Physician48718MN

General Provider Information

NPI Number : 1124197140
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE O'GARA MD
Provider Business Mailing Address
First Line : 270 MAIN ST N STE 300
Second Line :
City : STILLWATER
State : MN
Zip : 55082-6788
Country : US
Telephone Number : 651-342-1039
Fax Number : 651-342-1428
Provider Business Practice Location Address
First Line : 270 MAIN ST N STE 300
Second Line :
City : STILLWATER
State : MN
Zip : 55082-6788
Country : US
Telephone Number : 651-342-1039
Fax Number : 651-342-1428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 01/07/2026

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Directions to “ JOSEPHINE O'GARA MD” Practice Location

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