Individual
BRIAN ROGER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
317 N HWY 51, POYNETTE, WI 53955
(608) 635-9456
Mailing address
5009 MIRANDY ROSE CT, MIDDLETON, WI 53562-2386
(608) 833-5860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7827-040
WI
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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