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1215984216
WAYNE L. OLSEN
TRAVERSE CITY, MI
NPI
1215984216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MI 2901018277)
Enumeration Date
2006-05-27
Last Update Date
2007-12-27
Business Address
-- WAYNE L. OLSEN dds
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684-5451
Phone number: 231-946-3512
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Mailing Address
-- WAYNE L. OLSEN dds
3368 HOLIDAY VILLAGE RD
TRAVERSE CITY, MI 49686-3996
Phone number: 231-938-1953
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