Costco Wholesale Corporation

Specialty details in registry · Otsego, MN

Call (425) 313-8100 Directions

At a glance

11910 60Th St Ne, Otsego, MN 55301

NPPES record updated Jul 24, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

11910 60Th St Ne
Otsego, MN 55301

Professional details: NPI, taxonomy & registry record

NPI1639090558

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 332H00000X
Enumeration date: Jul 24, 2026
Record updated: Jul 24, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

332H00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11910 60Th St Ne
Otsego, MN 55301

Phone: (425) 313-8100

Mailing address

PO BOX 35005

SEATTLE, WA 981243405

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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