Doctor Name: | DR. CHRIS M OLENECH |
NPI Number: | 1225032196 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | CO001358 |
Business Practice Address: | 3976 Dix Hwy Lincoln Park, MI - 481463940 |
Business Phone Number: | 3133865750 |
Business Fax Number: | 3133860579 |
Mailing Address: | 3976 Dix Hwy, LINCOLN PARK |
State: | MI |
Postal Code: | 481463940 |
Phone Number: | 3133865750 |
Fax Number: | 3133860579 |
NPI Enumeration Date: | 06/09/2005 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | CO001358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |