# OLIVINE, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olivine, S.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851007132
- **Authorized official:** ANDREA VALERI MD (OWNER/INCORPORATOR)
- **Authorized official phone:** (262) 705-3238

## Contact information

- **Practice address:** 7137 236TH AVE, SALEM, WI 53168-8975
- **Practice address phone:** (262) 800-4672
- **Mailing address:** 10278 COOPER RD, PLEASANT PRAIRIE, WI 53158-6524
- **Mailing address phone:** (262) 705-3238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023