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Organization
OLIVINE, S.C.
Active
Organization
OLIVINE, S.C.
Active
Other names
Olivine, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA VALERI MD (OWNER/INCORPORATOR)
(262) 705-3238
Entity
Organization
Contact information
Practice address
7137 236TH AVE, SALEM, WI 53168-8975
(262) 800-4672
Mailing address
10278 COOPER RD, PLEASANT PRAIRIE, WI 53158-6524
(262) 705-3238
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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