Jaqueline Sherry Olczak in Coon Rapids - Family Medicine
Jaqueline Sherry Olczak - NPI 1104888411
Jaqueline Sherry Olczak is a Family Medicine in Coon Rapids, Minnesota. Jaqueline Sherry Olczak practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jaqueline Sherry Olczak is 1104888411. The last update date is 2020-11-10.
Jaqueline Sherry Olczak's current location address is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637809155. The mailing address for Jaqueline Sherry Olczak is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaqueline Sherry Olczak |
|---|---|
| Address | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
| Phone Number | 7637809155 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104888411 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 9055 Springbrook Dr Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554335841 |
| Phone Number | 7637809155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 39401 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 777825200 | MN | -- |
Post Comment/ Review Below
What is the Jaqueline Sherry Olczak's 1104888411?
The Jaqueline Sherry Olczak's NPI (National Provider Identifier) Number is 1104888411. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jaqueline Sherry Olczak is located?
The Jaqueline Sherry Olczak is situated at the following address: 9055 Springbrook Dr Nw, Coon Rapids, MN, 554335841.
What is Jaqueline Sherry Olczak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jaqueline Sherry Olczak's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did Jaqueline Sherry Olczak receive its 1104888411 assignment from the Centers for Medicare & Medicaid Services?
The Jaqueline Sherry Olczak was assigned its 1104888411 on 2006-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jaqueline Sherry Olczak most recently updated or revised?
The information pertaining to Jaqueline Sherry Olczak, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-10.