# MARY NELSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104163179
- **Authorized official:** DR. MARY NELSON M.D. (PRESIDENT)
- **Authorized official phone:** (319) 365-8616

## Contact information

- **Practice address:** 411 10TH ST SE, SUITE 1400, CEDAR RAPIDS, IA 52403-2442
- **Practice address phone:** (319) 365-8616
- **Practice address fax:** (319) 297-7377
- **Mailing address:** 411 10TH ST SE, SUITE 1400, CEDAR RAPIDS, IA 52403-2442
- **Mailing address phone:** (319) 365-8616
- **Mailing address fax:** (319) 297-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20657 | IA | Yes |

## Other

- **Enumeration date:** 01/11/2013
- **Last updated:** 01/11/2013