Individual
STEPHEN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 HOSPITAL DR, BRIDGTON, ME 04009-1167
(207) 647-4234
(207) 647-6260
Mailing address
25 HOSPITAL DR, BRIDGTON, ME 04009-1167
(207) 647-4234
(207) 647-6260
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
018543
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435821999
—
ME
Enumeration date
10/11/2006
Last updated
03/09/2011
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