Individual
DOUGLAS GREGORY OLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 242-6855
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26446-20
WI
2080A0000X
Pediatric Adolescent Medicine Physician
26446
WI
2080A0000X
Pediatric Adolescent Medicine Physician
26887
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052860
—
IA
Enumeration date
05/17/2006
Last updated
05/26/2023
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