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Organization

OLSON CHIROPRACTIC CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK DALE OLSON DC (PRESIDENT)
(763) 682-1849
Entity
Organization

Contact information

Practice address
130 LAKE BOULEVARD SOUTH, BUFFALO, MN 55313-1448
(763) 682-1849
(763) 684-1864
Mailing address
130 LAKE BLVD S, BUFFALO, MN 55313-1448
(763) 682-1849
(763) 684-1864

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2573
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
464528600
MN
01
4C321OL
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/28/2007
Last updated
03/26/2025
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