Individual
DR. HEIDI MARIE GROTH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1100
Mailing address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49203
MN
Other
Enumeration date
09/27/2007
Last updated
02/06/2009
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