Individual
JEFFREY A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10590 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 338-6666
Mailing address
10590 N MERIDIAN ST, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02002664A
IN
207RC0000X
Cardiovascular Disease Physician
02002664A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
02002664A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200803340
—
IN
Enumeration date
03/17/2006
Last updated
08/05/2022
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