Individual
THOMAS HARRY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 E MAIN ST, VERMILLION, SD 57069-0277
(605) 624-5666
(605) 624-2984
Mailing address
PO BOX 277, VERMILLION, SD 57069-0277
(605) 624-5666
(605) 624-2984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2237
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001211
BCBS PROVIDER NUMBER
SD
05
—
5601013
—
SD
Enumeration date
07/13/2005
Last updated
05/09/2008
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