Individual
STEPHEN C OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 S 6TH ST, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454-1336
(612) 273-8700
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 273-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43430
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537456
—
IA
01
—
053A4OL
BLUE CROSS BLUE SHIELD
MN
01
—
1027510
PREFERRED ONE
MN
01
—
1216950
ARAZ
MN
01
—
15-70912
MEDICA CHOICE
MN
01
—
160777
UCARE
MN
05
—
318663600
—
MN
01
—
HP40425
HEALTH PARTNERS
MN
Enumeration date
10/26/2006
Last updated
05/30/2012
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