Derek David Olson in Gaylord - Sports Medicine
Derek David Olson - NPI 1497796007
Derek David Olson is a Sports Medicine in Gaylord, Michigan. Derek David Olson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Derek David Olson is 1497796007. The last update date is 2021-01-06.
Derek David Olson's current location address is 652 N Otsego Ave, Gaylord, Michigan. You can contact this provider via phone number 9897323529 and fax number 9897327865. The mailing address for Derek David Olson is 652 N Otsego Ave, Gaylord, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek David Olson |
|---|---|
| Address | 652 N Otsego Ave, Gaylord, Michigan |
| Phone Number | 9897323529 |
| Fax Number | 9897327865 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497796007 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2021-01-06 |
Provider Mailing Address Detail
| Address | 652 N Otsego Ave |
|---|---|
| City | Gaylord |
| State | Michigan (MI) |
| Post Code | 497352502 |
| Phone Number | 9897323529 |
| Fax Number | 9897327865 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 4301076051 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4663576 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Derek David Olson by the Centers for Medicare & Medicaid Services (CMS)?
The Derek David Olson has been assigned the NPI (National Provider Identifier) 1497796007. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Derek David Olson's facilities are geographically located?
The facilities of Derek David Olson are physically situated at the following location: 652 N Otsego Ave, Gaylord, MI, 497352502.
What is Derek David Olson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek David Olson is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497796007 to Derek David Olson?
The Centers for Medicare & Medicaid Services originally issued the 1497796007 to Derek David Olson on 2006-06-08.
When was the information related to Derek David Olson most recently updated or refreshed?
The details pertaining to the Derek David Olson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-06.
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