Organization
MID DAKOTA PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE D OLSON DPM (OWNER)
(605) 995-6200
Entity
Organization
Contact information
Practice address
2410 N MAIN ST # 1149, MITCHELL, SD 57301-5037
(605) 995-6200
(605) 995-1910
Mailing address
2410 N MAIN ST # 1149, MITCHELL, SD 57301-5037
(605) 995-6200
(605) 995-1910
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
164
SD
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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