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Individual

JOHN V. OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 HERITAGE WAY STE 2100, KALISPELL, MT 59901-3167
(406) 257-8992
(406) 257-8996
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00019242
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MED-PHYS-LIC-115404
MT
207RI0011X
Interventional Cardiology Physician
MD00019242
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014398
WA
Enumeration date
10/16/2006
Last updated
02/19/2024
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