Individual
GARY C OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-4256
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-4256
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18714
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247460
—
IA
Enumeration date
03/22/2006
Last updated
07/20/2010
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