Provider Demographics
NPI:1366871733
Name:OESTERREICH, ROSA (CPM)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:
Last Name:OESTERREICH
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3249 ELLIOT AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-4066
Mailing Address - Country:US
Mailing Address - Phone:651-329-2319
Mailing Address - Fax:
Practice Address - Street 1:3249 ELLIOT AVE APT 1
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-4066
Practice Address - Country:US
Practice Address - Phone:651-329-2319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay