Individual
DR. JENNIFER JUNE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10961 CLUB WEST PKWY, BLAINE, MN 55449-4671
(763) 572-5710
(763) 528-2945
Mailing address
6401 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42020
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045886
PREFERRED ONE
MN
01
—
1203511
MEDICA
MN
01
—
127222
UCARE MN
MN
01
—
24227
AMERICA'S PPO
MN
01
—
269P3OL
BCBS OF MN
MN
01
—
HP29302
HEALTHPARTNERS
MN
Enumeration date
08/05/2006
Last updated
07/09/2007
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