DR. MARK WALTER OLSON (NPI# 1043254626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043254626 |
| Entity Type | Individual |
| Full Name | DR. MARK WALTER OLSON |
| Credential | M.D. |
| Practice Address |
1504 Sand Point Road Munising MI 49862 |
| Practice Telephone | 9063874220 |
| Practice Fax Number | 9063875449 |
| Mailing Telephone | 9063874220 |
| Mailing Fax Number | 9063875449 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301058238 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN HEALTH PLAN PIN | 05670 | 01 |
| MI | BLUECARE NETWORK PIN | 0800217331 | 01 |
| MI | MI COMMUNITY CHOICE PIN | 383165248101 | 01 |
| MI | BLUE CROSS PIN | 0800217331 | 01 |
| MI | BLUE CROSS LICENSE | MO058238 | 01 |
| MI | STATE OF MI MEDICAL LICEN | 4301058238 | 01 |
| DEA | BO1545396 | 01 | |
| MI | 4840017 | 05 | |
| MI | MOLINA HEALTHCARE PIN | QMXPR0017426 | 01 |
| MI | HEALTH PLUS | XX27082 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700028057 | Mark Loren Olson | Marriage & Family Therapist | 4300 Baker Rd, Watertower Place, Minnetonka, MN 55343-8600 | 2009-04-01 |
| 1831369255 | Mark Jerome Olson | Dentist | 752 Medical Center Ct Ste 212, Chula Vista, CA 91911-6660 | 2008-03-03 |
| 1679777262 | Mark Frederick Olson | Student in an Organized Health Care Education/Training Program | 19847 Doewood Dr, Monument, CO 80132-3404 | 2007-06-14 |
| 1952429805 | Mark Andrew Olson | Chiropractor | 11 West Old Ridge Road, Hobart, IN 46342-2410 | 2007-03-27 |
| 1336273390 | Mark Alan Olson | Dentist | 96 N 400 E, Price, UT 84501-2509 | 2007-03-14 |
| 1457401796 | Mark Francis Olson | Dentist | 1617 Westcliff Dr. Ste. 204, Newport Beach, CA 92660 | 2007-01-11 |
| 1407884216 | Mark R. Olson | Social Worker | 56 Charlonate Dr, Gray, ME 04039-9764 | 2006-06-29 |
| 1144260381 | Mark Albert Olson | Pharmacist | 915 W Marketview Dr, Champaign, IL 61822-1221 | 2006-06-07 |
| 1871596122 | Mark A Olson | Dentist | 2914 London Rd, Eau Claire, WI 54701-6831 | 2005-05-31 |
| 1548263049 | Mark R Olson | Family Medicine | 111 6th Street, Hugo, CO 80821 | 2005-05-27 |
| Street Address |
1504 SAND POINT ROAD |
| City | MUNISING |
| State | MI |
| Zip Code | 49862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457309569 | Kurt Richard Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-05-04 |
| 1669575148 | Superior Walk-in Center, PC | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-09-07 |
| 1114037207 | Teresa Marie Didomenico | Emergency Medicine | 1504 Sand Point Road, Munising, MI 49862-1406 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
| 1639329287 | George Schultz | Pharmacist | 415 E. Hwy. M-28, Munising, MI 49862 | 2008-09-19 |
| 1376619973 | Victor Adam Patronik | Dentist | 109 East Superior, Munising, MI 49862 | 2006-11-27 |
| 1386650182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 415 E M-28, Munising, MI 49862 | 2006-08-01 |
| 1952320509 | Michelle L Sharp | Psychologist | 601 West Superior Street, Munising, MI 49862 | 2006-07-18 |
| 1518953934 | David M Gast | Physical Medicine & Rehabilitation | 1500 Sandpoint Rd, Munising, MI 49862 | 2005-09-21 |
| 1619441730 | Natalie Pianetto Buck | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2019-01-11 |
| 1801107552 | Mercy Adeola Odueyungbo | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2010-06-28 |
| 1154592491 | Paula Marie Ackerman | Dietitian, Registered | 1500 Sand Point Rd, Munising, MI 49862 | 2008-03-14 |
| 1710334636 | Back In Motion Chiropractic LLC | Chiropractor | 413 Maple St, Suite 2, Munising, MI 49862-1088 | 2016-05-20 |
| Find all providers in zip 49862 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912008376 | Christine M Krueger | Family Medicine | 1504 Sandpoint Rd, Munising, MI 49862-1406 | 2006-09-26 |
| 1457309569 | Kurt Richard Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-05-04 |
| 1326402215 | Superior Walk-in Center, PC | Family Medicine | 1504 Sandpoint Rd, Munising, MI 49862-1406 | 2016-04-07 |
| 1043562762 | Munising Memorial Hospital | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-10-04 |
| 1023370624 | Chelsea Elise Ray | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-06-11 |
| 1467682682 | David John Miller | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2009-07-22 |
| 1699827303 | Elsi Maria Baccari | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2007-01-16 |
| 1700947710 | Colin Irish | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2006-12-13 |
| 1124191754 | Hiawatha Medical PC | Family Medicine | 1510 Sandpoint Rd, Suite 1, Munising, MI 49862-1406 | 2006-11-15 |
| 1669575148 | Superior Walk-in Center, PC | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-09-07 |
| Find all providers in MUNISING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.