Individual
GRACE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LIVINGSTON BLVD, 2ND FLOOR STE. B, GAYLORD, MI 49735-8351
(989) 732-6292
Mailing address
800 LIVINGSTON BLVD, 2ND FLOOR STE. B, GAYLORD, MI 49735-8351
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
12/16/2015
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