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Olga Mikhaylovna Ter-grigoryan
Family Nurse Practitioner in Superior, Wisconsin
NPI 1700896420

Olga Mikhaylovna Ter-grigoryan is a Family Nurse Practitioner based in Superior, WI and is specialized in Family. Olga Mikhaylovna Ter-grigoryan practices in Superior, WI. The NPI Number for Olga Mikhaylovna Ter-grigoryan is 1700896420 and holds a License No. 15318-30 (Wisconsin).

The current practice location address for Olga Mikhaylovna Ter-grigoryan is 3500 Tower Ave, Superior, WI and can be reached out via phone at 715-395-5454.

Location: 3500 Tower Ave, Superior, WI, 54880-5335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700896420
Provider Name
Olga Mikhaylovna Ter-grigoryan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3500 Tower Ave, Superior, WI, 54880-5335
Phone Number
715-395-5454
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36005400 05 WI
institution
Provider Business Practice Location Address Details
Address
3500 Tower Ave
City
Superior
State
Wisconsin
Zip
54880-5335
Phone Number
715-395-5454
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Tower Ave
City
Superior
State
Wisconsin
Zip
54880-5335
Phone Number
715-395-5454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
15318-30 (Wisconsin)
Definition
Definition to come...
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