Individual
BRIAN WALTER OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2508 SOUTH CEDAR, LANSING, MI 48910
(517) 372-5520
(517) 372-5540
Mailing address
PO BOX 77000, DEPT 77972, DETROIT, MI 48277-0972
(517) 372-5520
(517) 372-5540
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
081119
MI
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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