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Individual

DR. CHAD ALLAN OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
906 MAIN ST, LISBON, ND 58054-4333
(701) 683-4582
(701) 683-5814
Mailing address
906 MAIN ST, PO BOX 255, LISBON, ND 58054-4333
(701) 683-4582
(701) 683-5814

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
640
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10561
ND
01
31B460L
BCBS OF MN-BLUE SELECT
Enumeration date
08/31/2005
Last updated
09/25/2007
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