Individual
BLAINE ROBERT OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1921 N 13TH ST, BISMARCK, ND 58501-1973
(701) 222-2252
(701) 222-3645
Mailing address
1921 N 13TH ST, BISMARCK, ND 58501-1973
(701) 222-2252
(701) 222-3645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
664
ND
Other
Enumeration date
09/26/2006
Last updated
10/10/2007
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