Individual
ANDREW ROBERT OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-5700
(260) 266-5920
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34011212
OH
207RC0000X
Cardiovascular Disease Physician
Primary
02005067A
IN
390200000X
Student in an Organized Health Care Education/Training Program
TN505962
OH
Other
Enumeration date
11/22/2011
Last updated
03/07/2023
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