SearchSouth Dakota363A00000X

Timothy Olsen

NPI 1316465925 · on the registry since 2017

Practice

Address
621 Ridge Road
Lead, SD 57754
Phone
(605) 591-9949

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota