Individual
DR. RENEE OLSEN MIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991
Mailing address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4541887
—
MI
01
—
900006367
PRIORITY HEALTH
MI
01
—
999998001
VSP
MI
01
—
RM004070
BLUE CROSS
MI
Enumeration date
07/16/2006
Last updated
12/21/2012
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