Individual
DR. DOUGLAS V OLMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 JEFFERSON RD, NORTHFIELD, MN 55057-3081
(507) 663-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27708
MN
207Q00000X
Family Medicine Physician
29974
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31455900
—
WI
Enumeration date
08/29/2006
Last updated
11/22/2011
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