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Individual
KRISTINA M OLSTAD
Active
Individual
KRISTINA M OLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0347
ND
363AM0700X
Medical Physician Assistant
PAC0347
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454867
—
ND
Enumeration date
06/21/2005
Last updated
01/08/2020
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