Individual
DR. ANDREW RUSSELL OLSHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 S 36TH ST, MUSKOGEE, OK 74401-5046
(918) 682-2815
(918) 682-8643
Mailing address
333 S 36TH ST, MUSKOGEE, OK 74401-5046
(918) 682-2815
(918) 682-8643
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
23633
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019260A
—
OK
01
—
31758
BNDD REGISTRATION
OK
Enumeration date
07/19/2006
Last updated
11/12/2008
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