Individual
MICHELLE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-3621
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/31/2008
Last updated
10/26/2015
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