Individual
ROBERT J OLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2261
(701) 234-7470
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2261
(701) 234-7470
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5834
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16206
—
ND
05
—
414897500
—
MN
Enumeration date
07/18/2006
Last updated
11/17/2011
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