Individual
DOUGLAS ARLO OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, MC 11103E, SAINT PAUL, MN 55101
(651) 254-4796
(651) 254-2741
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
34006
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34335
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595762100
—
MN
Enumeration date
02/28/2006
Last updated
10/19/2022
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