Individual
AARON CARROLL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
525 N 9TH ST, BISMARCK, ND 58501-4510
(701) 530-5870
(701) 530-5879
Mailing address
525 N 9TH ST, BISMARCK, ND 58501-4510
(701) 530-5870
(701) 530-5879
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
150
SD
213E00000X
Podiatrist
Primary
7
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12125
—
ND
05
—
7760700
—
SD
01
—
CS1657
RRMC
—
Enumeration date
08/09/2006
Last updated
08/18/2010
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