Provider Demographics
NPI:1609989755
Name:OLISCHAR, WILLIAM G (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:OLISCHAR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 EASTERN SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5944
Mailing Address - Country:US
Mailing Address - Phone:410-641-4455
Mailing Address - Fax:
Practice Address - Street 1:829 EASTERN SHORE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5944
Practice Address - Country:US
Practice Address - Phone:410-641-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00922213EP1101X
MD922213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD378508400Medicaid
MDT229Medicare ID - Type UnspecifiedMEDICARE PROVIDER #