Individual
MICHAEL OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
JIM JARRETT ATHLETIC ADMIN BUILDING, NORFOLK, VA 23529-0001
(757) 683-3397
Mailing address
1109 1ST ST SE, FARIBAULT, MN 55021-6463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002421
VA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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