MEDICARE: DARIN OLSON

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	237700000X	Hearing Instrument Specialist	2783	MN

General Provider Information

NPI Number	:	1619328846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIN OLSON

Provider Business Mailing Address
First Line	:	19820 SEE GULL RD
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-6864
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19820 SEE GULL RD
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-6864
Country	:	US
Telephone Number	:	218-818-1007
Fax Number	:

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

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	06/29/2016

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Directions to “ DARIN OLSON ” Practice Location

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