Individual
DR. RANDALL R. OLSEN
Active
Individual
DR. RANDALL R. OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
A00215
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000133435
AUDIOLOGY
OH
05
—
0420066
—
OH
01
—
0583271
MEDICARE #
OH
Enumeration date
11/21/2005
Last updated
07/31/2008
Update your record
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