| Organization Name: | OLEAN MEDICAL GROUP PARTNERSHIP |
| NPI Number: | 1043305030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL STRAUCH (CEO) |
| Mailing Address: | 12 S Main St Franklinville |
| State: | NY US |
| Postal Code: | 147371224 |
| Phone Number: | 7166762212 |
| Fax Number: | 7166762432 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |