Provider Demographics
NPI:1063047553
Name:OSLUND, EMELIA ANN (CNIM)
Entity type:Individual
Prefix:
First Name:EMELIA
Middle Name:ANN
Last Name:OSLUND
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 ARBOR MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8833
Mailing Address - Country:US
Mailing Address - Phone:989-820-7616
Mailing Address - Fax:
Practice Address - Street 1:2059 ARBOR MEADOWS DR
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8833
Practice Address - Country:US
Practice Address - Phone:989-820-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer