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Individual

DR. COLLEEN J OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1601 BRIGHAM DR STE 200, PERRYSBURG, OH 43551-7117
(419) 872-7700
(419) 874-0196
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 872-7700
(419) 874-0196

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OH35078056
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141664
BLUE CROSS BLUE SHIELD PI
OH
05
2208444
OH
Enumeration date
06/09/2005
Last updated
11/03/2023
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