Individual
ROGER M OLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 SOUTH AVE, SUITE 104A, ROCHESTER, NY 14620
(585) 244-2084
Mailing address
990 SOUTH AVE, SUITE 104A, ROCHESTER, NY 14620
(585) 244-2084
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
134145
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00484299
—
NY
01
—
102294CK
PREFERRED CARE
—
01
—
10459448
CAQH
—
01
—
5983343
AETNA
—
01
—
6094
BLUE SHIELD
—
01
—
P010134145
BLUE CHOICE
NY
Enumeration date
03/01/2006
Last updated
05/08/2018
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