Individual
BRUCE W OLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
(701) 483-5018
Mailing address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
(701) 483-5018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5805
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16153
—
ND
01
—
5805
LICENSE
ND
Enumeration date
09/29/2005
Last updated
11/19/2012
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