Bradley Kent Olson MD

NPI 1093783706 - Family Medicine - 207Q00000X

NPI Details
NPI 1093783706
Gender Male
Enumeration Date 03/09/2006
Last Updated 04/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2220 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1321, US
Phone (612) 339-3663
Fax (612) 371-1732
Business Location
2220 RIVERSIDE AVE
MAIL STOP 21110Q
MINNEAPOLIS MN, 55454-1321, US
Phone (612) 339-3663
Fax (651) 371-1732
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 20889
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According to our database, Bradley Kent Olson MD NPI is 1093783706, taxonomy code is 207Q00000X and license number is 20889, license state is located at Minnesota. Bradley Kent Olson MD physically located at 2220 Riverside Ave, Minneapolis MN, 55454-1321. NPI Number Bradley Kent Olson MD has the Individual type.

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1093783706 NPI number is provided on an as is basis without warranty of any kind. 1093783706 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Kent Olson MD are for informational purposes only.