Individual
DR. MELVIN KEITH OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
108 WALNUT ST, SUITE 'A', HUDSON, WI 54016-4501
(715) 386-2133
(715) 386-5640
Mailing address
108 WALNUT ST, SUITE 'A', HUDSON, WI 54016-4501
(715) 386-2133
(715) 386-5460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2744
WI
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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