Provider Demographics
NPI:1073573259
Name:OLREE, DAVID ALBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALBERT
Last Name:OLREE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 US HIGHWAY 23 N
Mailing Address - Street 2:
Mailing Address - City:ROGERS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49779-1513
Mailing Address - Country:US
Mailing Address - Phone:989-734-7144
Mailing Address - Fax:989-734-3874
Practice Address - Street 1:784 US HIGHWAY 23 N
Practice Address - Street 2:
Practice Address - City:ROGERS CITY
Practice Address - State:MI
Practice Address - Zip Code:49779-1513
Practice Address - Country:US
Practice Address - Phone:989-734-7144
Practice Address - Fax:989-734-3874
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor