Olson, Marc A

Olson, Marc A is an individual health care provider with primary practice located at 5301 Mcauley Dr , Ypsilanti MI 48197-1051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Olson, Marc A can be contacted via phone (734) 712-3456.

Contact Information

Primary practice address
5301 Mcauley Dr Ypsilanti MI 48197-1051
Phone: (734) 712-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301065872 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 4301065872 Michigan

Profile Details

NPI number 1710920939
LBN Legal business name Olson, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 21st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710920939 NPPES
Michigan MEDICAID 4835035
Michigan MEDICAID 0086524
Michigan Other MO065872
Michigan MEDICAID 4436406
Michigan MEDICAID 4847546

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