Individual
DR. MICHELE MARIE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
(612) 627-4205
Mailing address
2874 MATILDA ST, ROSEVILLE, MN 55113-2419
(701) 306-5679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12548
MN
Other
Enumeration date
06/16/2008
Last updated
10/17/2012
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