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Individual

DR. BENJY OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(188) 475-6112
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940

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
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