Individual
AMY JO OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
333 MAIN ST N, 203, STILLWATER, MN 55082-5098
(651) 430-0018
(651) 430-0019
Mailing address
333 MAIN ST N, 203, STILLWATER, MN 55082-5098
(651) 430-0018
(651) 430-0019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
795A3OL
BCBS
MN
Enumeration date
10/31/2007
Last updated
10/31/2007
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