Individual
DR. KRISTI RAE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1711 S STEPHENSON AVE STE 300, IRON MOUNTAIN, MI 49801-3650
(906) 774-1633
(906) 774-4451
Mailing address
1711 S STEPHENSON AVE STE 300, IRON MOUNTAIN, MI 49801-3650
(906) 774-1633
(906) 774-4451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301087107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34877900
—
WI
05
—
4890529
—
MI
01
—
P00362792
RAILROAD MEDICARE
MI
Enumeration date
05/04/2006
Last updated
05/24/2023
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