OLGA GENNADYEVNA DEWALD

LANSING, MI
NPI1710397690
Former NameOLGA GENNADYEVNA KUNSHINA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  4301105687)
Enumeration Date2014-05-01
Last Update Date2022-07-21
Business Address
-- OLGA GENNADYEVNA DEWALD
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-1000
Mailing Address
-- OLGA GENNADYEVNA DEWALD
1859 COBBLE CT
BRIGHTON, MI 48114-7658
Phone number: 248-252-5457
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