Healthcare Provider Details

I. General information

NPI: 1609989755
Provider Name (Legal Business Name): WILLIAM G. OLISCHAR D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 EASTERN SHORE DR
SALISBURY MD
21804-5944
US

IV. Provider business mailing address

829 EASTERN SHORE DR
SALISBURY MD
21804-5944
US

V. Phone/Fax

Practice location:
  • Phone: 410-641-4455
  • Fax:
Mailing address:
  • Phone: 410-641-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number922
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number00922
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: