Individual
DR. GRANT JOSEPH OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 S PINE ST FL 2, SEYMOUR, IN 47274-2365
(812) 524-4265
(812) 524-4269
Mailing address
225 S PINE ST FL 2, SEYMOUR, IN 47274-2365
(812) 524-4265
(812) 524-4269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01064374A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200883280
—
IN
Enumeration date
05/21/2007
Last updated
11/17/2022
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