Olk, Douglas Gregory

Olk, Douglas Gregory is an individual health care provider with primary practice located at 2402 Winnebago St , Madison WI 53704-5341. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Olk, Douglas Gregory can be contacted via phone (608) 242-6855.

Contact Information

Primary practice address
2402 Winnebago St Madison WI 53704-5341
Phone: (608) 242-6855
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 26887 Iowa
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 26446 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26446-20 Wisconsin

Profile Details

NPI number 1710939780
LBN Legal business name Olk, Douglas Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710939780 NPPES
Iowa MEDICAID 0052860

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