Individual
RYAN ANTHONY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
8100 W 78TH ST, SUITE 100, EDINA, MN 55439-2516
(952) 914-8100
(952) 914-8501
Mailing address
8100 W 78TH ST, SUITE 100, EDINA, MN 55439-2516
(952) 445-0077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9779
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112116
MEDICA
MN
01
—
1032303
PREFERRED ONE
MN
01
—
132079
UCARE
MN
01
—
2276559
AMERICAS PPO
MN
05
—
670131100
—
MN
01
—
HP48635
HEALTHPARTNERS
MN
01
—
O22L40L
BLUE CROSS/SHIELD
MN
01
—
P00113560
RAILROAD MEDICARE
MN
Enumeration date
04/10/2006
Last updated
03/02/2021
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