Individual
DR. ANDREW R OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 RUSSELL DR, WAYNESBORO, MS 39367-4409
(601) 735-9373
(601) 735-5897
Mailing address
134 RUSSELL DR, WAYNESBORO, MS 39367-4409
(601) 735-9373
(601) 735-5897
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
201
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115018
—
MS
Enumeration date
09/27/2006
Last updated
07/09/2007
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