Individual
MICHAEL W OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CH
Contact information
Practice address
225 S WALNUT ST, OTTAWA, KS 66067-2247
(785) 242-8688
(785) 242-8486
Mailing address
602 S MAPLE ST, OTTAWA, KS 66067-2730
(785) 242-8688
(785) 242-8486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104770
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00299246
MEDICARE RAILROAD
KS
Enumeration date
09/06/2007
Last updated
12/19/2017
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