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Individual
DANIEL RICHARD NELSON
Active
Individual
DANIEL RICHARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
40898
IA
207X00000X
Orthopaedic Surgery Physician
Primary
8778
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922204239
—
IA
05
—
1922204239
—
NE
05
—
1922204239
—
SD
Enumeration date
06/23/2007
Last updated
07/16/2021
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