Individual
DR. RICHARD DEWEY OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6218 TRAIL RIDGE CT, OREGON, WI 53575-2534
(608) 835-9434
Mailing address
6218 TRAIL RIDGE CT, OREGON, WI 53575-2534
(608) 835-9434
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1772-035
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38416300
—
WI
Enumeration date
06/15/2006
Last updated
07/09/2007
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