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Individual

DR. PAUL NORMAN OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 GOLF COURSE RD, GRAND RAPIDS, MN 55744-3526
(218) 326-6677
Mailing address
1318 SW 5TH ST, GRAND RAPIDS, MN 55744-4600
(218) 327-3585
(218) 327-2234

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
032210
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204068900
MN
Enumeration date
07/28/2005
Last updated
11/29/2011
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