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Individual

DR. DAVID EDWIN OLSON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3515 BROADWAY AVE, YANKTON, SD 57078-7600
(605) 668-3100
(605) 668-3460
Mailing address
PO BOX 7600, YANKTON, SD 57078-7600
(320) 224-4959
(605) 668-3460

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20299
MN
2084P0800X
Psychiatry Physician
Primary
7913
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506080000
MN
Enumeration date
03/31/2006
Last updated
01/25/2011
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