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Individual
BRIAN DEANE NELSON
Active
Individual
BRIAN DEANE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40084
MN
208M00000X
Hospitalist Physician
Primary
40084
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407013
MEDICA HEALTH PLANS
—
01
—
1012483
PREFERRED ONE
—
01
—
1033658
ARAZ GROUP/AMERICA'S PPO
—
01
—
106868
U-CARE
—
01
—
313K7NE
BLUE CROSS BLUE SHIELD
—
01
—
400219900
MEDICAL ASSISTANCE
—
05
—
400219900
—
MN
01
—
6D053CE
BLUE CROSS BLUE SHIELD
—
01
—
C11369
RR MEDICARE
—
01
—
HP20578
HEALTH PARTNERS
—
01
—
P00174824
RR MEDICARE
—
Enumeration date
10/14/2005
Last updated
11/28/2023
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