| Abimbola O Osagie, MD | |
|
9555 Upland Ln N, Maple Grove, MN 55369-4485 | |
| (952) 993-1440 | |
| Not Available |
| Full Name | Abimbola O Osagie |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9555 Upland Ln N, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457516734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 10937 (North Dakota) | Secondary |
| 208000000X | Pediatrics | 54993 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Plymouth Psych Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Abimbola O Osagie, MD 8170 33rd Ave S, Minneapolis, MN 55425-4516 Ph: () - | Abimbola O Osagie, MD 9555 Upland Ln N, Maple Grove, MN 55369-4485 Ph: (952) 993-1440 |
Laura Woodbeck Moustafa, Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 | |
Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338 | |
Pamela Jean Niksich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338 | |
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229 | |
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903 | |
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475 | |
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000 |