Provider Demographics
NPI:1194046318
Name:OLSON, MEGAN ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ANN
Last Name:OLSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3621 SOUTH STATE STREET
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1051 NORTH CANTON RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-5097
Practice Address - Country:US
Practice Address - Phone:734-844-5400
Practice Address - Fax:734-764-2599
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2013-08-09
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Provider Licenses
StateLicense IDTaxonomies
MI4301096073208000000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program