| Olson Chiropractic Clinic, Inc | |
|
130 Lake Boulevard South, Buffalo, MN 55313-1448 | |
| (763) 682-1849 | |
| (763) 684-1864 |
| Full Name | Olson Chiropractic Clinic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 130 Lake Boulevard South, Buffalo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316075799 | NPI | - | NPPES |
| 464528600 | Medicaid | MN | |
| 4C321OL | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2573 (Minnesota) | Primary |
| Provider Name | Mark D Olson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780778274 PECOS PAC ID: 6002849460 Enrollment ID: I20070801000616 |
| Provider Name | Ryan Jay Olson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194029173 PECOS PAC ID: 9638319189 Enrollment ID: I20130708000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Olson Chiropractic Clinic, Inc 130 Lake Blvd S, Buffalo, MN 55313-1448 Ph: (763) 682-1849 | Olson Chiropractic Clinic, Inc 130 Lake Boulevard South, Buffalo, MN 55313-1448 Ph: (763) 682-1849 |
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Dr. Ryan Jay Olson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Lake Blvd S, Buffalo, MN 55313 Phone: 763-682-1849 Fax: 763-684-1864 |