Individual
DR. GREGORY W OLENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6595
(304) 797-6052
Mailing address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6595
(304) 797-6052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD424234
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23967
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010177580001
—
PA
05
—
2774814
—
OH
05
—
3810017283
—
WV
01
—
P00826312
MEDICARE RR
WV
Enumeration date
01/08/2006
Last updated
09/22/2011
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