Individual
SUSAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
244 GRANGER RD, BARRE, VT 05641-5367
(802) 225-3942
Mailing address
PO BOX 547, BARRE, VT 05641-0547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420006655
VT
207R00000X
Internal Medicine Physician
14947
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009180
—
VT
Enumeration date
02/13/2007
Last updated
03/22/2016
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