Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton B Olson, MD

Individual provider Family Medicine Physician · NPI 1104082742

Clinton B Olson, MD is a Family Practice in Green Bay, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2007, 19 years ago. Practices with St Gianna Molla Clinic, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Colorado, Oklahoma and Wisconsin.

Years since qualifying
19
Trained at
University of Wisconsin School of Medicine
Licensed in
CO, OK, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2253 W Mason St
Green Bay, WI 54303-4706
Phone: (920) 327-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73389-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0049276 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25807 (OK)

Record details

NPI number1104082742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2008
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice St Gianna Molla Clinic, Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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