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Individual

DR. BRUCE ALLEN OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-1887
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 728-4789

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301063120
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3051148
MI
Enumeration date
05/18/2006
Last updated
12/03/2013
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