Individual
BLAKE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 W KIEFFER RD, MICHIGAN CITY, IN 46360-9580
(219) 879-2177
Mailing address
501 W KIEFFER RD, MICHIGAN CITY, IN 46360-9580
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002915A
IN
Other
Enumeration date
08/22/2016
Last updated
04/12/2026
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