Mark K Olgaard, DO
Individual provider Active NPI Family Medicine Physician · Au Gres, MI
NPI 1811985658 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1811985658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101008757 (MI)
- Practice address
- 302 S Main St
Au Gres, MI 48703-8700 - Phone
- (989) 876-7104
- Fax
- (989) 876-2881
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150401002148 | MI | Order and Referring Only - Family Practice |
6800081969 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101008757 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Tawas | Past | Accepting new patients | |
| Mymichigan Medical Center Tawas | Past | Accepting new patients | |
| Oscoda VA Outpatient Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101008757 | MI | Yes |
Addresses
Primary practice location
302 S Main St
Au Gres, MI 48703-8700
Mailing address
PO Box 779
Tawas City, MI 48764-0779
Phone (989) 362-0153
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3516709 | Medicaid | MI |
Other providers in Au Gres, MI
- Camille Gabriella-Joanne Lutz
- Scott Arthur McAlindon
- Otis L McKinley
- Melissa Joy Miller
- Mymichigan Medical Center Tawas
- Sleep Right LLC
- Lana Spencer
- Sterling Area Health Center
- Sterling Area Health Center
- Urise Therapy LLC
All providers in Au Gres, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.