Individual
DR. ELISE A OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 668-5613
(919) 668-5629
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24475
NC
207N00000X
Dermatology Physician
Primary
24475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8964134
—
NC
Enumeration date
06/13/2006
Last updated
09/10/2013
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