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Search › Michigan › 101YA0400X

Jason Olvera

NPI 1710472170 · on the registry since 2018

Practice

Address
3300 36th St Se
Grand Rapids, MI 49512
Phone
(616) 942-2110
Organisation at this address
Wedgwood Christian Services
Wedgwood Christain Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
332

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan