NPI | 1316089741 |
---|---|
Other Name | OLSON CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | BRIAN WILLIAM OLSON Owner 608-372-5922 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WI 3311-012) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3311-012) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-03-14 |