Olson, Paul Norman

Olson, Paul Norman is an individual health care provider with primary practice located at 111 Golf Course Rd , Grand Rapids MN 55744-3526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Olson, Paul Norman can be contacted via phone (218) 326-6677.

Contact Information

Primary practice address
111 Golf Course Rd Grand Rapids MN 55744-3526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 032210 Minnesota

Profile Details

NPI number 1396745576
LBN Legal business name Olson, Paul Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396745576 NPPES
Minnesota MEDICAID 204068900

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