Individual
MAX OLESEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
192189
CA
208D00000X
General Practice Physician
Primary
52289-020
WI
Other
Enumeration date
08/27/2007
Last updated
07/03/2024
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