Individual
DR. ANDREW J. OLAFSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 413, MILWAUKEE, WI 53215-3660
(414) 383-7744
(414) 383-8089
Mailing address
2514 S 102ND ST, SUITE 120, WEST ALLIS, WI 53227-2142
(414) 777-5200
(414) 777-5210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37158
IA
207R00000X
Internal Medicine Physician
48683
WI
207RN0300X
Nephrology Physician
Primary
48683
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144279332
—
WI
Enumeration date
05/08/2006
Last updated
12/20/2021
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