Individual
DR. JENNIFER K OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
30 N 18TH AVE, STURGEON BAY, WI 54235-3207
(920) 743-9275
Mailing address
30 N 18TH AVE, STURGEON BAY, WI 54235-3207
(920) 743-9275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6008-015
WI
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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