Individual
ELLEN L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
436 SUNRISE DR, SPRING GREEN, WI 53588-9286
(608) 588-2502
Mailing address
436 SUNRISE DR, SPRING GREEN, WI 53588-9286
(608) 588-2502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38198
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080129928
RAILROAD MEDICARE
WI
05
—
32307100
—
WI
Enumeration date
02/23/2006
Last updated
06/12/2024
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