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Individual

DANIEL JOSEPH OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1795
(952) 442-4461
Mailing address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1795
(952) 442-4461

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64479
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/03/2017
Last updated
03/03/2021
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