Individual
JOHN HARRISON OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 E 1ST ST, SUITE 1700, ANKENY, IA 50021-2077
(515) 643-8100
(515) 643-8139
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8100
(515) 643-8139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00696
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71153
WELLMARK BLUE SHIELD
IA
Enumeration date
11/02/2005
Last updated
03/29/2017
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