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1154105500
JOHN THOMAS OLSTAD
WEST ALLIS, WI
NPI
1154105500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 14294-33)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
JOHN THOMAS OLSTAD PMHNP-BC
1706 S 68TH ST
WEST ALLIS, WI 53214-4949
Phone number: 414-667-4800
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Mailing Address
JOHN THOMAS OLSTAD PMHNP-BC
624 E MEINECKE AVE
MILWAUKEE, WI 53212-3433
Phone number: 414-241-1152
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