Individual
MR. MICHAEL GEORGE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2626
Mailing address
6023 CLEARVIEW DR, CARMEL, IN 46033-8268
(317) 815-9039
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000527A
IN
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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