Individual
WILLIAM K OLIVER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1345 UNITY PLACE, SUITE 225, LAFAYETTE, IN 47905-5762
(765) 449-2436
(765) 449-1817
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07000620A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000620A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319200
—
IN
Enumeration date
03/27/2006
Last updated
03/23/2021
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