Individual
NICHOLE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N 10TH ST, MANITOWOC, WI 54220-4039
(920) 682-6376
(920) 652-0115
Mailing address
1914 HERMAN RD, MANITOWOC, WI 54220-1233
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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