Individual
CYNTHIA L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416
(952) 993-3376
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28760
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398385400
—
MN
Enumeration date
05/20/2006
Last updated
03/12/2021
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