Individual
KEITH J OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 JEFFERSON RD, NORTHFIELD, MN 55057-3081
(507) 663-9000
(651) 241-0775
Mailing address
1400 JEFFERSON RD, NORTHFIELD, MN 55057-3081
(507) 663-9000
(651) 241-0775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29720
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010050518
RAILROAD MEDICARE
GA
05
—
378877600
—
MN
01
—
54035OL
BCBS
MN
01
—
N003453
CHAMPUS
MN
Enumeration date
06/29/2006
Last updated
01/29/2026
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