Provider Demographics
NPI:1598327686
Name:OLSON, EMMA (DO)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:OLSON
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6440 NICOLLET AVE
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-1697
Mailing Address - Country:US
Mailing Address - Phone:612-861-1622
Mailing Address - Fax:
Practice Address - Street 1:6440 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-1697
Practice Address - Country:US
Practice Address - Phone:612-861-1622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS022085207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine