Individual
DR. RANDALL R. OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
5267 PEARL RD, PARMA, OH 44129-1550
(216) 485-5767
(216) 485-5768
Mailing address
5267 PEARL RD, PARMA, OH 44129-1550
(216) 485-5767
(216) 485-5768
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
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