Individual
THOMAS L OLMSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
67387-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44338300
—
WI
Enumeration date
05/05/2006
Last updated
07/28/2010
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