Individual
DR. BRAD A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 S REYNOLDS RD, TOLEDO, OH 43615-6958
(419) 725-6631
Mailing address
708 BRIDGEVIEW DR, PERRYSBURG, OH 43551-3900
(567) 702-1090
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35074948
OH
208000000X
Pediatrics Physician
OH35074948O
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141665
BLUE CROSS BLUE SHIELD PI
OH
05
—
2078988
—
OH
Enumeration date
06/09/2005
Last updated
10/10/2025
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