Individual
STEPHEN A. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4013 N RIDGE RD, STE. 210, WICHITA, KS 67205-8857
(316) 945-7309
(316) 945-9131
Mailing address
4013 N. RIDGE RD. STE 210, WICHITA, KS 67205
(316) 945-7309
(316) 945-9131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-28897
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100402670A
—
KS
Enumeration date
07/13/2006
Last updated
02/11/2015
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