Individual
DR. PAUL J OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
PO BOX 5009, SIOUX FALLS, SD 57117-5009
(605) 977-5000
(605) 977-5377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
3412
SD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
3412
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001548
SD BCBS
SD
05
—
0967554
—
IA
01
—
169677
UCARE
—
01
—
24682
HEALTH PARTNERS
—
01
—
3412
DAKOTACARE
SD
01
—
53994
IA BCBS
IA
05
—
6002470
—
SD
05
—
899007700
—
MN
01
—
931451029042
PREFERRED ONE
—
01
—
98533OL
MN BCBS - PLAN 91057NO
MN
Enumeration date
05/24/2006
Last updated
06/10/2008
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