Individual
DR. MICHAEL SCOTT OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
OSF SAINT FRANCIS MEDICAL CTR, 530 NE GLEN OAK AVENUE, PEORIA, IL 61637
(309) 655-2000
Mailing address
1015 N FLORA AVE, PEORIA, IL 61606-1405
(847) 912-3897
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01082233A
IN
207P00000X
Emergency Medicine Physician
Primary
036122602
IL
207P00000X
Emergency Medicine Physician
125-051300
IL
207P00000X
Emergency Medicine Physician
C152817
CA
Other
Enumeration date
06/06/2007
Last updated
05/14/2019
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