Individual
DOUGLAS J OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SOUTHDALE RADIATION THERAPY CTR, 6401 FRANCE AVE S, EDINA, MN 55434
(952) 920-8477
(952) 920-5365
Mailing address
MPLS RADIATION ONCOLOGY, 6950 FRANCE AVE S #200, EDINA, MN 55435
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
24103
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104834
UCARE
MN
01
—
105691
CHOICE PLUS
MN
05
—
12379
—
ND
01
—
12840OL
BLUE CROSS/BLUE SHIELD
MN
01
—
2400004
MEDICA PRIMARY
MN
01
—
2409880
MEDICA
MN
01
—
25135
AMERICA'S PPO
MN
05
—
30624000
—
WI
01
—
963070250002
PREFERRED ONE
MN
01
—
HP14103
HEALTH PARTNERS
MN
Enumeration date
08/19/2005
Last updated
07/08/2007
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