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NPI Code Detail

MEDICARE: DR. ROANNE OSBORNE MD

MEDICARE: DR. ROANNE OSBORNE 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
1207Q00000XFamily Medicine Physician73600MN
2207QA0401XAddiction Medicine (Family Medicine) Physician68515-20WI

General Provider Information

NPI Number : 1427042894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROANNE OSBORNE MD
Provider Business Mailing Address
First Line : 4801 VETERANS DR
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-2015
Country : US
Telephone Number : 320-252-1670
Fax Number :
Provider Business Practice Location Address
First Line : 4801 VETERANS DR
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-2015
Country : US
Telephone Number : 320-252-1670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 09/03/2025

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Directions to “ DR. ROANNE OSBORNE MD” Practice Location

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