Individual
JOHN CHARLES OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 10TH AVE W, MOBRIDGE, SD 57601-1246
(605) 845-2932
Mailing address
1400 10TH AVE W, MOBRIDGE, SD 57601-1246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2013021018
MO
152W00000X
Optometrist
Primary
693
SD
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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