NPI 1205756871

Luke Daniel Olson, PAC

Practitioner Physician Assistant Manitowoc, WI

Practice location

Address: 1650 S 41st St, Manitowoc, WI 54220-7316
Phone: (920) 320-4780
Mailing address: 2660 Prairie Lake Rd, Tomahawk, WI 54487-8881

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1205756871
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2026
Record last updated: 24 Jul 2026

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.