Individual
GARY A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 341-7920
(715) 341-0776
Mailing address
1100 CENTERPOINT DR STE 303, STEVENS POINT, WI 54481-2849
(715) 341-7920
(715) 341-0776
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42680 030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43273500
—
WI
Enumeration date
07/17/2006
Last updated
07/08/2007
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