Individual
DR. BRETTA M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MAC LN, PIERRE, SD 57501
(605) 224-5901
(605) 945-5295
Mailing address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 945-5246
(605) 945-5295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1844
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702620
—
SD
Enumeration date
05/21/2008
Last updated
06/26/2018
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