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Individual
THOMAS HARRY OLSON
Active
Individual
THOMAS HARRY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2237
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001211
BCBS PROVIDER NUMBER
SD
05
—
5601013
—
SD
Enumeration date
07/13/2005
Last updated
05/09/2008
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