Individual
ASHLEY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11402 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3041
(313) 366-4000
Mailing address
3060 KIPLING AVE, BERKLEY, MI 48072-3511
(517) 896-7180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11190645
MI
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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