Individual provider · Type 1 NPI

Jeremi Thomas Olson, PA-C

Surgical Physician Assistant · Madison, WI

NPI number 1003803339 Active

Practice location

700 S Park St, Dean St. Mary's Outpatient Center
Madison, WI 53715-1830

Call (608) 260-2900 Map

Fax (608) 260-7975

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1489-023 (WI)
Medical Physician Assistant 363AM0700X1489-023 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1003803339

Jeremi Thomas Olson, PA-C's National Provider Identifier is 1003803339, issued on Oct 3, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Apr 15, 2009.