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Individual

MARK DALE OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
130 LAKE BLVD SOUTH, BUFFALO, MN 55313
(763) 682-1849
(763) 684-1864
Mailing address
130 LAKE BLVD SOUTH, BUFFALO, MN 55313
(763) 682-1849
(763) 684-1864

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2573
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
464528600
MN
Enumeration date
10/02/2006
Last updated
04/02/2025
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