Individual
DR. STEPHEN M. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
32901 23 MILE RD, STE. 120, CHESTERFIELD, MI 48047-4063
(586) 725-4604
(586) 725-3021
Mailing address
37400 GARFIELD RD STE 200, CLINTON TOWNSHIP, MI 48036-3648
(586) 286-4880
(586) 286-1102
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101011971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022826
MHP HAN
MI
01
—
160D410050
BCBS BCN BLUE CHOICE
MI
05
—
4177977
—
MI
05
—
4810054
—
MI
05
—
4830413
—
MI
Enumeration date
05/09/2006
Last updated
05/19/2020
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