| Doctor Name: | MRS. MAGGIE A OLSON |
| NPI Number: | 1932198223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MLT |
| License Number: | AMT 40988 |
| Business Practice Address: | 1115 B St Plummer, ID - 838570388 |
| Business Phone Number: | 2086861931 |
| Business Fax Number: | 2086865133 |
| Mailing Address: | Po Box 115, ST MARIES |
| State: | ID |
| Postal Code: | 838610115 |
| Phone Number: | 2086861931 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RH0600X |
| License Number: | AMT 40988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Histology |
| Taxonomy Definition: | |