Individual
SCOTT PRESTON OLVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
(920) 831-2968
Mailing address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
(920) 831-2968
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
50492
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000645232
RAILROAD MEDICARE
—
01
—
0555860001
NATIONAL GOVERNMENT SERVI
WI
05
—
34799300
—
WI
Enumeration date
06/30/2005
Last updated
10/31/2012
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