Individual
DAVID OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8455 FLYING CLOUD DR, SUITE 200, EDEN PRAIRIE, MN 55344-3974
(952) 993-7400
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24102
MN
Other
Enumeration date
12/30/2005
Last updated
03/06/2012
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