Individual
NATHANAEL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12639 OLD TESSON RD, SAINT LOUIS, MO 63128-2711
(314) 849-0311
Mailing address
12639 OLD TESSON RD, SAINT LOUIS, MO 63128-2711
(314) 849-0311
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2022014038
MO
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2022014038
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
08/19/2025
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