| Doctor Name: | KERI ANN OVSAK |
| NPI Number: | 1811168511 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MA, FNP-BC |
| License Number: | R129561-0 |
| Business Practice Address: | 1111 Highway 73 Moose Lake, MN - 557679452 |
| Business Phone Number: | 2185656200 |
| Business Fax Number: | 2185656240 |
| Mailing Address: | 1111 Highway 73, MOOSE LAKE |
| State: | MN |
| Postal Code: | 557679452 |
| Phone Number: | 2185656200 |
| Fax Number: | 2185656240 |
| NPI Enumeration Date: | 03/20/2008 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R129561-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |