Whalio Doctors

NPI 1003803339

Jeremi Thomas Olson, PAC

Practitioner Surgical Physician Assistant Madison, WI

Practice location

Address
700 S Park St Dean St. Mary's Outpatient Center, Madison, WI 53715-1830
Phone
(608) 260-2900
Fax
(608) 260-7975

Registered specialties (2)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 1489-023 (WI)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1489-023 (WI)

Registry record

NPI
1003803339
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Oct 2005
Record last updated
15 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.