Individual
JOHN MILES OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5200
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
2458869
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
1103298
WI
Other
Enumeration date
01/20/2020
Last updated
03/29/2023
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