Individual
KENNETH DEAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-3230
(952) 993-8438
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39403
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
993717000
—
MN
Enumeration date
03/26/2006
Last updated
03/12/2021
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