Individual
DR. GREGORY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9926
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-9926
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
57.258139
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
03/26/2025
Last updated
02/08/2026
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