Individual
KELSEY LYN OLMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S STATE ST, BIG RAPIDS, MI 49307-2747
(231) 591-2000
Mailing address
38504 CHELDON ST, CLINTON TOWNSHIP, MI 48038-3124
(586) 228-7663
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5302043491
MI
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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