Individual
MITCHELL A OLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-6025
Mailing address
9500 EUCLID AVENUE, NC22, CLEVELAND, OH 44195
(216) 445-6025
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17056
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000085031
BLUE CROSS
AL
05
—
000085031
—
AL
01
—
06253774
MISSISSIPPI MEDICAID
MS
01
—
290004750
RAILROAD MEDICARE
AL
01
—
A53607
VIVA
AL
Enumeration date
07/09/2006
Last updated
06/22/2017
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