Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY BRIAN OLSEN
ActiveTIMOTHY BRIAN OLSEN is a Physician Assistant healthcare provider located in LEAD, South Dakota. NPI 1316465925 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LEAD, SD
Registration Details
- NPI Number
- 1316465925
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2017 (8.9297340611676 yrs)
- Last Updated
- Jul 21, 2022
- License
-
MED-PAC-LIC-59140 (MT)
Practice Information
- Address
-
621 RIDGE ROADLEAD, SD, 57754Browse SD providers · Browse ZIP 57754
- Phone
- 6055919949
- Primary Specialty
-
Physician Assistant
363A00000X
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.