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Individual

RYAN K OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3840 BROADWAY, FORT MYERS, FL 33901-8108
(239) 275-6400
(239) 275-0178
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ME107264
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
248122
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME107264
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002474800
FL
Enumeration date
04/17/2008
Last updated
08/20/2020
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