MEDICARE: DR. DAN EMIL OLSON M.D.

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
1	207RP1001X	Pulmonary Disease Physician	35065135	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1568458578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN EMIL OLSON M.D.

Provider Business Mailing Address
First Line	:	3355 GLENDALE AVE
Second Line	:	3RD FLOOR
City	:	TOLEDO
State	:	OH
Zip	:	43614-2426
Country	:	US
Telephone Number	:	419-720-0317
Fax Number	:	419-720-0319

Provider Business Practice Location Address
First Line	:	1000 REGENCY COURT
Second Line	:	STE. 200
City	:	TOLEDO
State	:	OH
Zip	:	43623-3074
Country	:	US
Telephone Number	:	419-720-0317
Fax Number	:	419-720-0319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	11/27/2017

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