Individual
ALAN D OLMSTEAD
Active
Individual
ALAN D OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M-4775
ID
207N00000X
Dermatology Physician
Primary
M4775
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001242700
—
ID
Enumeration date
10/13/2006
Last updated
12/05/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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