Individual
CHARLES E OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 N 103RD PLZ, SUITE 100, OMAHA, NE 68114-1114
(402) 391-5055
(402) 391-5053
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18134
NE
207RI0011X
Interventional Cardiology Physician
Primary
18134
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264481-00
—
NE
05
—
1699736553
—
IA
Enumeration date
03/30/2006
Last updated
09/29/2022
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