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Individual
WILLIAM NELSON
Active
Individual
WILLIAM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301039918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4847214
—
MI
01
—
B43272
PRIORITY HEALTH
MI
01
—
WN039918
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/10/2006
Last updated
07/15/2011
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