Individual
DR. EDWARD LAWRENCE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
816 W ST GERMAIN ST, SUITE 502, ST CLOUD, MN 56301
(320) 253-9868
(320) 255-0033
Mailing address
816 W ST GERMAIN ST, SUITE 502, ST CLOUD, MN 56301
(320) 253-9868
(320) 255-0033
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
MN7908
MN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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