Organization
MARIE CASEY OLSETH, MD, LLC
Active
Other names
West End Consultation Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE CASEY OLSETH M.D. (OWNER)
(612) 804-3548
Entity
Organization
Contact information
Practice address
1550 UTICA AVE S, STE 450, ST LOUIS PARK, MN 55416-5312
(952) 856-8452
(952) 746-4383
Mailing address
23790 LAWTONKA DR, EXCELSIOR, MN 55331-1767
(612) 804-3548
(952) 746-4383
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY 49497
MN
Other
Enumeration date
12/24/2013
Last updated
12/19/2015
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