Individual
JEREMIAH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2606 STEWART AVE STE 200, WAUSAU, WI 54401-5449
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
(715) 847-2775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42511
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078088
—
WI
Enumeration date
04/03/2013
Last updated
08/03/2021
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