Individual
JAKOB J. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6490
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
100051
IA
363A00000X
Physician Assistant
Primary
5230-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336774488
—
WI
Enumeration date
03/10/2020
Last updated
09/12/2022
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