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Individual

FREDERICK R OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1221 NICOLLET AVE, SUITE 600, MINNEAPOLIS, MN 55403-2420
(612) 573-2232
(612) 573-2274
Mailing address
1221 NICOLLET AVE, SUITE 600, MINNEAPOLIS, MN 55403-2420
(612) 573-2232
(612) 573-2274

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23771
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0178703
DEPT OF LABOR & INDUSTRIE
MN
01
0247011
PREFERRED ONE
MN
05
0984674
IA
01
100703
UCARE
MN
01
12973OL
BLUE CROSS
MN
01
22998
AMERICA'S PPO
MN
01
3000011425
RAILROAD MEDICARE WI
WI
01
300065116
RAILROAD MEDICARE MN
MN
01
301G3OL
BLUE CROSS
MN
05
30227500
WI
05
802307700
MN
01
HP14104
HEALTHPARTNERS
MN
Enumeration date
06/05/2006
Last updated
05/01/2009
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