Ryan Anthony Olsen, P.A.
Physician Assistant in Edina, MN. Individual provider (NPI-1).
NPI number1477516649
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1477516649
- Entity type
- Individual (NPI-1)
- Name
- Ryan Anthony Olsen
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9779 | MN | Yes |
Practice location
8100 W 78th StSuite 100
Edina, MN 55439-2516
Phone 952-914-8100 · Fax 952-914-8501
Mailing address
8100 W 78th StSuite 100
Edina, MN 55439-2516
Phone 952-445-0077
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