MEDICARE: MAGDALENA ALISON OLEKSY ANP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	4704231852	MI

General Provider Information

NPI Number	:	1205139755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENA ALISON OLEKSY ANP-BC

Provider Business Mailing Address
First Line	:	37771 SCHOENHERR RD
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48312-2302
Country	:	US
Telephone Number	:	586-274-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	37771 SCHOENHERR RD
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48312-2302
Country	:	US
Telephone Number	:	586-274-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2010
Last Update Date	:	12/07/2010

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