Individual
DR. WILLIAM E. OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 DEXTER CT, SUITE 118, DAVENPORT, IA 52807-3461
(563) 344-8333
(563) 344-8334
Mailing address
3400 DEXTER CT, SUITE 118, DAVENPORT, IA 52807-3461
(563) 344-8333
(563) 344-8334
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036109035
IL
208600000X
Surgery Physician
36204
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03396
BCBS IA #
IA
05
—
036109035
—
IL
01
—
08132142
BCBS IL #
IL
05
—
1457328502
—
IA
01
—
1891740882
MMSA NPI #
IA
01
—
1891740882
MMSA NPI #
IL
Enumeration date
03/07/2006
Last updated
09/25/2024
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