Individual
MR. JACEK OLSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
400 RIVER ST, ONTONAGON, MI 49953-1614
(906) 884-6054
Mailing address
409 CHIPPEWA ST, ONTONAGON, MI 49953-1007
(248) 906-1439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4476852
MI
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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