Olivine, S.C.
Organization Active NPI Medical Specialty Clinic/Center · Salem, WI
NPI 1851007132 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1851007132
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- OLIVINE, S.C.
- Practice address
- 7137 236TH Ave
Salem, WI 53168-8975 - Phone
- (262) 800-4672
- NPI assigned
- Jan 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Andrea Valeri, MD
- Title
- Owner/Incorporator
- Phone
- (262) 705-3238
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
7137 236TH Ave
Salem, WI 53168-8975
Mailing address
10278 Cooper Rd
Pleasant Prairie, WI 53158-6524
Phone (262) 705-3238
Other practice location 1
10278 Cooper Rd
Pleasant Prairie, WI 53158-6524
Phone (262) 800-4672
Other names
- Olivine, S.C.
Other providers in Salem, WI
- Jessica Monson
- Matthew Mueller
- Hannah Rose Naccarato
- Rachel D Novak
- Soohyon Oh
- Paddock Lake Family Practice, SC
- Peter Capelli MD S.C.
- Jennifer Marie Plans
- Ginger Bohn Randolph
- Alyssa M Ricchio
All providers in Salem, WI · Medical Specialty Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.