Individual provider · Type 1 NPI

Jordan L. Olesnavich, PA-C

Medical Physician Assistant · East Lansing, MI

NPI number 1619370160 Active

Practice location

830 W Lake Lansing Rd Ste 190
East Lansing, MI 48823-6371

Fax (517) 209-3976

Mailing address

830 W Lake Lansing Rd, Ste. 190
East Lansing, MI 48823-6371

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085005249 (IL)
Medical Physician Assistant Primary 363AM0700X5601007728 (MI)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1619370160

Jordan L. Olesnavich, PA-C's National Provider Identifier is 1619370160, issued on Sep 29, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Lansing, MI. The record was last updated on Jan 19, 2018.