Individual
JOHN THOMAS OLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1706 S 68TH ST, WEST ALLIS, WI 53214-4949
(414) 667-4800
Mailing address
624 E MEINECKE AVE, MILWAUKEE, WI 53212-3433
(414) 241-1152
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14294-33
WI
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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