Andrew Oliver

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mayville, MI

NPI 1124577218 · NPPES record last updated Sep 29, 2016

Key facts

NPI
1124577218
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1650 Obrien Rd
Mayville, MI 48744-9405
Phone
(989) 843-5224
NPI assigned
Sep 29, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MI
Student in an Organized Health Care Education/Training Program 390200000X MI Yes

Addresses

Primary practice location

1650 Obrien Rd
Mayville, MI 48744-9405

Mailing address

1650 Obrien Rd
Mayville, MI 48744-9405
Phone (989) 843-5224

Other providers in Mayville, MI

All providers in Mayville, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.