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Individual

BRADLEY KENT OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3930 NORTHWOODS DR, ARDEN HILLS, MN 55112-6963
(952) 853-8800
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20889
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
560885600
MN
Enumeration date
03/09/2006
Last updated
12/15/2020
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