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Contact Information

DAVID K OLSEN, DDS
927 N 2ND ST
BRUCE, WI54819-9701
 Phone: 715-868-7135
 Fax: 715-868-7135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DAVID K OLSEN · (Male)

NPI # 1013085828
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/01/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 5001893-015
  • WI Medicaid 33354100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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