Individual
MELANIE DIANE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 BROADWAY AVE, WHITE PIGEON, MI 49099-9717
(269) 483-7874
Mailing address
677 E. MAIN ST., CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704160479
MI
Other
Enumeration date
01/13/2019
Last updated
07/16/2019
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