Individual
JAMES P OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-2929
(605) 328-8429
Mailing address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-2929
(605) 328-8429
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12030
ND
207RC0000X
Cardiovascular Disease Physician
33742
IA
207RC0000X
Cardiovascular Disease Physician
43224
MN
207RC0000X
Cardiovascular Disease Physician
Primary
4581
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15865
—
ND
Enumeration date
06/05/2006
Last updated
05/03/2012
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