Individual
DR. DEREK DAVID OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
652 N OTSEGO AVE, GAYLORD, MI 49735-2502
(989) 732-3529
(989) 732-7865
Mailing address
652 N OTSEGO AVE, GAYLORD, MI 49735-2502
(989) 732-3529
(989) 732-7865
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301076051
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4663576
—
MI
Enumeration date
06/08/2006
Last updated
01/06/2021
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