Provider Demographics
NPI:1316931884
Name:OLEWNIK, ANN (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:OLEWNIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2333 N 7TH ST
Mailing Address - Street 2:PO BOX 62
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-0062
Mailing Address - Country:US
Mailing Address - Phone:970-244-2273
Mailing Address - Fax:970-255-1724
Practice Address - Street 1:2635 N 7TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8209
Practice Address - Country:US
Practice Address - Phone:970-244-2273
Practice Address - Fax:970-255-1809
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2011-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO325852080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1325851Medicaid