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Individual
RYAN JAMES NELSON
Active
Individual
RYAN JAMES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101018425
MI
208800000X
Urology Physician
Primary
5101018424
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06273
BCBSM
MI
Enumeration date
07/15/2009
Last updated
04/28/2021
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