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NPI Code Detail

MEDICARE: DR. PAUL LEWIS OLSON MD

MEDICARE: DR. PAUL LEWIS OLSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician27363MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184685844
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL LEWIS OLSON MD
Provider Business Mailing Address
First Line : 7907 POWERS BLVD
Second Line :
City : CHANHASSEN
State : MN
Zip : 55317-9502
Country : US
Telephone Number : 952-934-0570
Fax Number : 952-906-7837
Provider Business Practice Location Address
First Line : 7907 POWERS BLVD
Second Line :
City : CHANHASSEN
State : MN
Zip : 55317-9502
Country : US
Telephone Number : 952-934-0570
Fax Number : 952-906-7837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 06/15/2011

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Directions to “ DR. PAUL LEWIS OLSON MD” Practice Location

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