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Individual

MICHAEL G OLENCHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
200 E RYAN RD, OAK CREEK, WI 53154-4563
(414) 570-3590
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 747-8400
(414) 747-8414

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4567-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100070609
WI
Enumeration date
06/01/2011
Last updated
11/18/2024
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