Individual
DR. MARY L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 2ND AVENUE NORTH, WINDOM, MN 56101
(507) 831-1703
(507) 831-4170
Mailing address
PO BOX 338, 820 2ND AVENUE NORTH, WINDOM, MN 56101
(507) 831-1703
(507) 831-4170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080138815
RAILROAD MEDICARE
—
05
—
170377300
—
MN
Enumeration date
02/10/2006
Last updated
04/01/2015
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