Individual
JONATHAN W. OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32255 NORTHWESTERN HWY STE 135, FARMINGTON HILLS, MI 48334-1575
(947) 228-5500
Mailing address
30000 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-3227
(947) 221-9684
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301096396
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301096396
MI
Other
Enumeration date
07/09/2010
Last updated
11/21/2023
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