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Individual

DR. DANIEL RAY OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2400 COUNTY ROAD D W, SAINT PAUL, MN 55112-7564
(651) 633-0155
(651) 604-2935
Mailing address
2400 COUNTY ROAD D W, #101, SAINT PAUL, MN 55112-7564
(651) 633-0155
(651) 604-2935

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4556
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
307P4OL
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/20/2006
Last updated
11/28/2012
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