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Individual

ELIS YNGVE OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5700
(559) 353-5708
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
00020602
AL
207P00000X
Emergency Medicine Physician
00020602
AL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
15576
NV
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
G157727
CA
208000000X
Pediatrics Physician
15576
NV
208000000X
Pediatrics Physician
G157727
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
0101264310
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
75935
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
9900314
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD486821C
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000032416
AL
05
009939515
AL
01
051032416
BCBS
AL
01
051518178
BCBS OF ALABAMA
AL
01
200174262
CHAMPUS
AL
01
2011312
UNITED HEALTH CARE
AL
01
4297420
AETNA
AL
01
N18178
MAILHANDLERS
AL
Enumeration date
09/19/2005
Last updated
08/26/2025
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