Individual
HOLLI JOY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MONTEVIDEO VA CLINIC, 1025 N 13TH STREET, MONTEVIDEO, MN 56265-1653
(320) 269-2222
Mailing address
MONTEVIDEO VA CLINIC, 1025 N 13TH STREET, MONTEVIDEO, MN 56265
(320) 269-2222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12943
MN
363AS0400X
Surgical Physician Assistant
3125
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907678
—
AZ
Enumeration date
10/19/2006
Last updated
03/25/2020
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