Individual
RICHARD LEE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
805 W BROADWAY AVE, MEDFORD, WI 54451-1307
(715) 748-2334
(715) 748-1124
Mailing address
805 W BROADWAY AVE, MEDFORD, WI 54451-1307
(715) 748-2334
(715) 748-1124
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2562-012
WI
Other
Enumeration date
07/03/2012
Last updated
05/23/2017
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