Dr Jennifer June Olson, MD | |
10961 Club West Pkwy, Blaine, MN 55449-4671 | |
(763) 572-5710 | |
(763) 528-2945 |
Full Name | Dr Jennifer June Olson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10961 Club West Pkwy, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659380954 | NPI | - | NPPES |
1203511 | Other | MN | MEDICA |
127222 | Other | MN | UCARE MN |
1045886 | Other | MN | PREFERRED ONE |
269P3OL | Other | MN | BCBS OF MN |
24227 | Other | MN | AMERICA'S PPO |
HP29302 | Other | MN | HEALTHPARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 42020 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer June Olson, MD 6401 University Ave Ne, Suite 200, Fridley, MN 55432-4341 Ph: (763) 572-5710 | Dr Jennifer June Olson, MD 10961 Club West Pkwy, Blaine, MN 55449-4671 Ph: (763) 572-5710 |
Rachel Hildebrand, Pediatrics Medicare: Medicare Enrolled Practice Location: 11855 Ulysses St Ne, Blaine, MN 55434 Phone: 763-581-0555 Fax: 763-581-0556 | |
Dr. Jennifer Elaine Rousseau, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11107 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 763-333-7733 Fax: 763-333-7711 | |
Dr. Stephen Sitrin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11107 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 763-333-7733 Fax: 763-333-7711 | |
Fadel Sakkal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11107 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 763-333-7723 Fax: 763-333-7711 | |
Ms. Indrani Saha, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10961 Club West Pkwy, Blaine, MN 55449 Phone: 763-528-2987 Fax: 763-528-2945 | |
John Robert Hollerud, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11107 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 763-333-7733 Fax: 763-333-7711 |