Amanda S Olsen, PA-C

NPI #1407154354 in De Pere, Wisconsin

Provider Information

NPI Number: 1407154354
Entity Type: Individual
Name: Amanda S Olsen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 2, 2011
Last Updated: Apr 10, 2023

Practice Location

Address: 2200 DICKINSON RD UNIT 17B
City: De Pere
State: Wisconsin
ZIP Code: 54115-4070
Phone: (920) 965-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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