DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY OLSEN, CDT

Active

BRADLEY OLSEN, CDT is a 125J00000X healthcare provider located in FAIRMONT, Minnesota. NPI 1225769227 is currently active in the NPPES registry. Verify at CMS.

125J00000X · FAIRMONT, MN

Registration Details

NPI Number
1225769227
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2022 (4.1094766575336 yrs)
Last Updated
Jun 21, 2022
License
DT150 (MN)

Practice Information

Address
717 S STATE ST STE 2
FAIRMONT, MN, 560314469
Browse MN providers · Browse ZIP 56031
Phone
5072355985
Primary Specialty
125J00000X
125J00000X

Other 125J00000X Providers in FAIRMONT, MN

Name Credential NPI
MELISSA DURBIN DENTAL THERAPIST 1063146553
TAYLOR MARIE WEERTS DT 1073497004
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.