Individual
DR. MICHAEL WOLTMAN OHLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258
(507) 537-1427
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
(507) 537-1742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1919
IA
152W00000X
Optometrist
Primary
3529
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067249
—
IA
05
—
1245294784
—
MN
Enumeration date
04/13/2006
Last updated
11/19/2019
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