Individual
RICHARD L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
N3171 STARKEY LAKE RD., SHELL LAKE, WI 54871
(715) 468-2057
Mailing address
N3171 STARKEY LAKE RD., SHELL LAKE, WI 54871
(715) 468-2057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43394300
—
WI
Enumeration date
12/06/2006
Last updated
12/19/2007
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