Individual
DR. CHARLES M. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3853 DEER RUN LN, AMES, IA 50014-9045
(515) 292-0762
Mailing address
3853 DEER RUN LN, AMES, IA 50014-9045
(515) 292-0762
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22097
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204347
—
IA
Enumeration date
11/02/2005
Last updated
06/22/2023
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