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NPI Code Detail

MEDICARE: TINA N OZBEKI MD

MEDICARE:   TINA N OZBEKI  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 Physician66246-20WI
2207Q00000XFamily Medicine Physician70613MN

General Provider Information

NPI Number : 1841687365
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA N OZBEKI MD
Provider Business Mailing Address
First Line : 901 S 2ND ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1289
Country : US
Telephone Number : 612-338-1383
Fax Number :
Provider Business Practice Location Address
First Line : 901 S 2ND ST STE A
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-2123
Country : US
Telephone Number : 612-338-1383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2015
Last Update Date : 04/05/2022

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Directions to “ TINA N OZBEKI MD” Practice Location

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