Basic Information
| Provider Information | |||||||||
| NPI: | 1720219249 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OLSASKY | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1475 | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503051475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5159618448 | ||||||||
| FaxNumber: | 5156439100 | ||||||||
| Practice Location | |||||||||
| Address1: | 307 E SCENIC VALLEY AVE | ||||||||
| Address2: | |||||||||
| City: | INDIANOLA | ||||||||
| State: | IA | ||||||||
| PostalCode: | 501254865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5159618448 | ||||||||
| FaxNumber: | 5156439100 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2009 | ||||||||
| LastUpdateDate: | 04/25/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | DO-04118 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | R-8694 | IA | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.