Individual
JAIME LYNN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 MEDICAL CIR, MADISON, WI 53719-1243
(608) 213-5967
Mailing address
5600 MEDICAL CIR, MADISON, WI 53719-1243
(608) 213-5967
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3160-046
WI
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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