Individual
MARILYN E OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
850 STRAITS TPKE, MIDDLEBURY, CT 06762-2843
(203) 758-1800
(203) 758-1804
Mailing address
850 STRAITS TPKE, MIDDLEBURY, CT 06762-2843
(203) 758-1800
(203) 758-1804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000797
CT
Other
Enumeration date
07/26/2005
Last updated
10/04/2013
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