Individual
DR. BENJY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00764
IA
213E00000X
Podiatrist
187
SD
213E00000X
Podiatrist
Primary
770
MN
213ES0131X
Foot Surgery Podiatrist
770
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0293209
—
IA
05
—
6800722
—
SD
Enumeration date
05/18/2006
Last updated
10/04/2022
Update your record
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