Individual
MRS. TERESE M OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
213 PARKWAY, EAGLE LAKE, MN 56024-0018
(507) 257-3726
(507) 257-3726
Mailing address
PO BOX 18, 213 PARKWAY, EAGLE LAKE, MN 56024-0018
(507) 257-3726
(507) 257-3726
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2505
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62653OL
BCBS
MN
Enumeration date
03/30/2007
Last updated
12/04/2007
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