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Individual

JON OLOF OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1210 COUNTY ROAD E W, ARDEN HILLS, MN 55112-3783
(651) 523-8400
(651) 484-9650
Mailing address
8100 34 AVE S, MC21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7172
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2055
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
388323000
MN
Enumeration date
02/02/2006
Last updated
03/10/2022
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