Individual
DR. STEPHEN A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420-2824
(952) 884-1148
(952) 886-7016
Mailing address
PO BOX 1309, MAIL STOP 21113A, MINNEAPOLIS, MN 55440-1309
(952) 883-5151
(952) 883-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7120
MN
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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