RILEY OSTERTAG

PRIOR LAKE, MN
NPI1801290614
Former NameRILEY BLYTHE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MN  11694)
Enumeration Date2014-10-22
Last Update Date2015-07-22
Business Address
-- RILEY OSTERTAG PA-C
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372-9077
Phone number: 952-496-6150
Mailing Address
-- RILEY OSTERTAG PA-C
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372-9077
Phone number: 952-496-6150
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