Kenneth David Olsen MD

NPI 1033179429 - Internal Medicine - 207RC0200X

NPI Details
NPI 1033179429
Gender Male
Enumeration Date 03/28/2006
Last Updated 08/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3960 COON RAPIDS BLVD NW
100
COON RAPIDS MN, 55433-2569, US
Phone (763) 236-9400
Fax (763) 236-9423
Business Location
PO BOX 43
MR 10809
MINNEAPOLIS MN, 55440-0043, US
Phone (612) 262-4813
Fax (612) 262-4194
Toxanomy
Taxonomy Code 207RC0200X
License State Minnesota
License Number 1033179429
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According to our database, Kenneth David Olsen MD NPI is 1033179429, taxonomy code is 207RC0200X and license number is 1033179429, license state is located at Minnesota. Kenneth David Olsen MD physically located at 3960 Coon Rapids Blvd Nw, Coon Rapids MN, 55433-2569. NPI Number Kenneth David Olsen MD has the Individual type.

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1033179429 NPI number is provided on an as is basis without warranty of any kind. 1033179429 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth David Olsen MD are for informational purposes only.