Individual
DR. RONALD KEVIN OLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, FACFAS, C-PED
Contact information
Practice address
4246 3 MILE RD N, TRAVERSE CITY, MI 49686-9195
(231) 922-9100
(231) 922-9180
Mailing address
4246 3 MILE RD N, TRAVERSE CITY, MI 49686-9195
(231) 922-9100
(231) 922-9180
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001664
MI
213E00000X
Podiatrist
R0001664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
(13)2893049
—
MI
05
—
2893049
—
MI
Enumeration date
05/31/2005
Last updated
06/26/2013
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