Individual
CARLO A DALL'OLMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 732-1620
(810) 732-8559
Mailing address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 732-1620
(810) 732-8559
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
CD029682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202515552
BC/BS OF MICHIGAN
ME
01
—
0615552
HEALTHPLUS OF MICHIGAN
MI
01
—
105229
PREFERRED CHOICE PPO
MI
01
—
117047
GREAT LAKES HEALTH PLAN
MI
05
—
1430928
—
MI
01
—
204103
MCLAREN HEALTH PLAN/ADVAN
MI
01
—
382237803111
COMMUNITY CHOICE
MI
01
—
4294592
AETNA
MI
01
—
B42956
HEALTH ALLIANCE PLAN
MI
01
—
C3723
M-CARE
MI
Enumeration date
01/30/2006
Last updated
11/27/2007
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