Organization
OLSON CC WELLNESS LLC
Active
Other names
Olson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OLSON DC (SOLE MEMBER)
(715) 417-1627
Entity
Organization
Contact information
Practice address
307 N CASCADE STREET, OSCEOLA, WI 54020
(715) 294-3211
(715) 417-3103
Mailing address
20610 ENFIELD AVE N, FOREST LAKE, MN 55025-8137
(715) 417-1627
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4859-12
WI
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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