Individual
JOHN D OLSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
33316
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109311
U-CARE
—
01
—
2114091
FIRST HEALTH PLAN
—
01
—
4829223
MEDICA HEALTH PLANS
—
01
—
596783
ARAZ GRP/AMERICA'S PPO
—
01
—
6D081OL
BLUE CROSS BLUE SHIELD
—
01
—
986022
PREFERRED ONE
—
01
—
HP25499
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
07/08/2007
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