Individual
DR. BRAD L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 S CLIFF AVE STE A, SIOUX FALLS, SD 57104-5275
(605) 338-7098
(605) 335-3505
Mailing address
2608 S ELMWOOD AVE, SIOUX FALLS, SD 57105-4344
(605) 333-0203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3747
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003453
BLUE CROSS SD
SD
05
—
324225100
—
MN
05
—
5700080
—
SD
01
—
5T115OL
BLUE CROSS MN
MN
05
—
935551
—
IA
Enumeration date
06/07/2006
Last updated
03/02/2020
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