Individual
SUE ANN OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6400 HICKMAN RD, WINDSOR HEIGHTS, IA 50324-5001
(515) 274-3551
(515) 274-3512
Mailing address
6400 HICKMAN RD, WINDSOR HEIGHTS, IA 50324-5001
(515) 274-3551
(515) 274-3512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096651
—
IA
05
—
1760442768
—
IA
Enumeration date
03/24/2006
Last updated
10/30/2020
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