Dr Emily A Olson, MD | |
710 Riverside Dr, Waupaca, WI 54981-1941 | |
(715) 256-3000 | |
Not Available |
Full Name | Dr Emily A Olson |
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Gender | Female |
Speciality | Pediatrics |
Location | 710 Riverside Dr, Waupaca, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437448131 | NPI | - | NPPES |
1437448131 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 60143 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Dr Emily A Olson, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 256-3000 | Dr Emily A Olson, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000 |
Dr. Wendy Carroll Hill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 |