Healthcare Provider Details

I. General information

NPI: 1821108564
Provider Name (Legal Business Name): ARNE M OLSEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N SUITE 400E
BILLINGS MT
59101-7506
US

IV. Provider business mailing address

2900 12TH AVE N SUITE 400E
BILLINGS MT
59101-7506
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-6820
  • Fax:
Mailing address:
  • Phone: 406-238-6820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberP3786
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number27813
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: