DETTLEFF ELMER OLSON

DAYTON, OH
NPI1497868475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34-005936)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
Miss DETTLEFF ELMER OLSON D.O.
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 765-973-6915
Mailing Address
Miss DETTLEFF ELMER OLSON D.O.
405 VALLEYVIEW DR
ENGLEWOOD, OH 45322-1313
Phone number: 937-836-5597