Individual
DR. DAVID K. OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
927 N 2ND ST, BRUCE, WI 54819-9701
(715) 868-7135
(715) 868-7135
Mailing address
927 N 2ND ST, BRUCE, WI 54819-9701
(715) 868-7135
(715) 868-7135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001893-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33354100
—
WI
Enumeration date
12/01/2006
Last updated
07/08/2007
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