Paul N Olson (NPI# 1396745576, PAC ID# 8426959685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1396745576 |
| PAC ID by PECOS | 8426959685 |
| Professional Enrollment ID | I20060523000005 |
| Full Name | Paul N Olson |
| Organization Legal Name | NORTHERN PINES ORTHOPAEDIC CLINIC PA |
| Address |
111 Golf Course Rd Suite 1 Grand Rapids MN 55744-3526 |
| Phone Number | 218326667715 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3678560158 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240043 | MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN |
| Address | Phone | Organization |
|---|---|---|
| 404 W Fountain St, Albert Lea, MN 56007-2437 | 5073732384 | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION |
| 1000 1st Dr Nw, Austin, MN 55912-2941 | 5074337351 | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION |
| 111 Golf Course Rd, Suite 1, Grand Rapids, MN 55744-3526 | 218326667715 | NORTHERN PINES ORTHOPAEDIC CLINIC PA |
| 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 218326667715 | NORTHERN PINES ORTHOPAEDIC CLINIC PA |
| Organization Legal Name | NORTHERN PINES ORTHOPAEDIC CLINIC PA |
| Physicians | 1 |
| Street Address |
111 GOLF COURSE RD SUITE 1 |
| City | GRAND RAPIDS |
| State | MN |
| Zip | 55744-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Jay Dettmer | Physical Therapy | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin M Heglund | Psychologist, Clinical | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Amy M Mallum | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathryn J Faver | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Eric R Nance | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathleen A Rubesh | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Jennifer C Sheppard | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Donald M Farnsworth Jr. | Clinical Psychologist | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lisa Jo Corradi | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lane N Gunnerson | Chiropractic | 1325 Nw 4th St, Suite 200, Grand Rapids, MN 55744-2270 | |
| Gary D Wheelock | Chiropractic | 605 Nw 4th St, Grand Rapids, MN 55744-2301 | |
| Find all physicians in zip 55744 | |||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GRAND RAPIDS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Paul N Olson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.