Individual provider · Type 1 NPI

Mallery Olsen, MD

Pediatric Hematology & Oncology Physician · Minneapolis, MN

NPI number 1649664871 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

2450 Riverside Ave # 8951
Minneapolis, MN 55454-1450

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician Primary 2080P0207X80064 (MN)
General Practice Physician 208D00000X80064 (MN)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1649664871

Mallery Olsen, MD's National Provider Identifier is 1649664871, issued on Mar 25, 2015. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 24, 2025.