Provider Demographics
NPI:1538746847
Name:OLSEN, GERILYN (MD)
Entity type:Individual
Prefix:
First Name:GERILYN
Middle Name:
Last Name:OLSEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:999 N 92ND ST STE 730
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4875
Mailing Address - Country:US
Mailing Address - Phone:414-266-6800
Mailing Address - Fax:414-337-7068
Practice Address - Street 1:330 BROOKLINE AVE # 522
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-4995
Practice Address - Fax:617-667-4948
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2025-06-28
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Provider Licenses
StateLicense IDTaxonomies
MA1021464207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology