Individual
JAMES OLSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
114 TUSCOLA, BAY CITY, MI 48708-6995
(989) 895-0788
Mailing address
114 TUSCOLA, BAY CITY, MI 48708-6995
(989) 895-0788
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301004056
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042659
CIGNA
MI
01
—
1016060
MCLAREN HEALTH ADVANTAAGE
MI
Enumeration date
09/08/2006
Last updated
07/08/2007
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