Individual
ROSS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 MAIN AVE N, ROSEAU, MN 56751-1820
(218) 463-2020
Mailing address
506 CENTER ST E, ROSEAU, MN 56751-1511
(701) 306-9493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3244
MN
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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