Individual
ROBERT J OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E MADISON AVE, SUITE 352, MANKATO, MN 56001-5473
(507) 387-3195
Mailing address
PO BOX 8674, 1230 E MAIN ST, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31335
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0571331
—
IA
01
—
123583
UCARE
MN
05
—
179319500
—
MN
01
—
389R3OL
BCBS
MN
01
—
41084933956001C179
CHAMPUS
—
01
—
992446
AMERICAS PPO
MN
01
—
HP36646
HEALTH PARTNERS
MN
01
—
NA2950902011
PREFERRED ONE
MN
01
—
P00106215
RR MEDICARE
—
Enumeration date
01/10/2006
Last updated
07/15/2020
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