Organization
OLESNAVAGE PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J OLESNAVAGE PSYD (OWNER/PRESIDENT)
(906) 225-1071
Entity
Organization
Contact information
Practice address
106 COLES DR, MARQUETTE, MI 49855-4010
(906) 225-1071
(906) 225-1074
Mailing address
106 COLES DR, MARQUETTE, MI 49855-4010
(906) 225-1071
(906) 225-1074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010173
MI
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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