Individual
MICHELLE MARIE NOLAN-OLMSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
516 S WISCONSIN DR, HOWARDS GROVE, WI 53083-1261
(920) 565-5391
(920) 565-5391
Mailing address
3303 SUPERIOR AVE, SHEBOYGAN, WI 53081-1861
(920) 208-3557
(920) 208-3527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2955-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40087400
—
WI
01
—
7867763
AETNA
WI
Enumeration date
11/01/2006
Last updated
11/01/2007
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