JONATHAN CHARLES OLIVAS

MOORHEAD, MN
NPI1942599048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MN  58826)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ND  13439)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-03-30
Last Update Date2022-03-25
Business Address
Dr. JONATHAN CHARLES OLIVAS MD
1301 8TH ST S
MOORHEAD, MN 56560-3604
Phone number: 701-234-3100
Mailing Address
Dr. JONATHAN CHARLES OLIVAS MD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 701-234-3100