Individual
DAN N OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 STATE ROUTE 5, CORTLAND, OH 44410-9393
(330) 372-8800
(330) 372-8999
Mailing address
2600 STATE ROUTE 5, CORTLAND, OH 44410-9393
(330) 372-8800
(330) 372-8999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35045552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243190
ANTHEM BC/BS
OH
05
—
0465527
—
OH
01
—
341341025039
CARESOURCE
OH
01
—
400885
UNITED HEALTHCARE
OH
01
—
78934
HEALTH ASSURANCE
OH
01
—
J45552
SUMMACARE
OH
01
—
Q022608
HOMETOWN
OH
Enumeration date
07/10/2006
Last updated
04/20/2008
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