Individual
CLINTON B OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7300
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0049276
CO
207Q00000X
Family Medicine Physician
25807
OK
207Q00000X
Family Medicine Physician
Primary
73389-20
WI
Other
Enumeration date
08/04/2008
Last updated
11/22/2021
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