Individual
MICHAEL KENT OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5435
Mailing address
1216 N LOGAN AVE, DANVILLE, IL 61832-2920
(217) 431-2054
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-000888
IL
Other
Enumeration date
08/07/2006
Last updated
07/21/2022
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