Individual
MARC A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301065872
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
4301065872
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086524
—
MI
05
—
4436406
—
MI
05
—
4835035
—
MI
05
—
4847546
—
MI
01
—
MO065872
BC/BS
MI
Enumeration date
06/14/2006
Last updated
05/21/2024
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