Individual
MICHAEL STEWART OLSEN
Active
Individual
MICHAEL STEWART OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00044798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195305
LIWA
WA
01
—
2010OL
BSWA
WA
05
—
8422933
—
WA
Enumeration date
06/09/2006
Last updated
03/05/2008
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