| Obidike M Olisa, MD | |
|
N10565 Grandview Ln, Ironwood, MI 49938-9622 | |
| (906) 932-1500 | |
| (906) 932-5630 |
| Full Name | Obidike M Olisa |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | N10565 Grandview Ln, Ironwood, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184822181 | NPI | - | NPPES |
| OO090895 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 5208906 | Medicaid | MI | |
| 34934900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301090895 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Obidike M Olisa, MD N10565 Grandview Ln, Ironwood, MI 49938-9622 Ph: (906) 932-1500 | Obidike M Olisa, MD N10565 Grandview Ln, Ironwood, MI 49938-9622 Ph: (906) 932-1500 |
Christopher J Pogliano, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-1500 Fax: 906-932-5091 | |
Sheri L Ewing, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 629 W Cloverland Dr Ste 1, Ironwood, MI 49938 Phone: 906-932-0032 | |
Robert E Gardner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-1500 Fax: 906-932-5630 | |
Dr. Kevin Alden Kummerow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 W Cloverland Dr, Ironwood, MI 49938 Phone: 906-932-0032 | |
James E Hubbard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-1500 Fax: 906-932-5630 |