Individual
DR. DAVID GLENN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4005 W 65TH ST, SUITE 204, EDINA, MN 55435-1720
(952) 920-2282
(952) 920-2219
Mailing address
4005 W 65TH ST, SUITE 204, EDINA, MN 55435-1720
(952) 920-2282
(952) 920-2219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MNLP3475
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291M8NE
BCBS
MN
01
—
6164976
UBH MEDICA
MN
Enumeration date
05/03/2007
Last updated
07/08/2007
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