# ALLAN D. NELSON, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pentwater Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932317450
- **Authorized official:** DR. ALLAN D. NELSON M.D. (OWNER)
- **Authorized official phone:** (231) 869-7051

## Contact information

- **Practice address:** 500 HANCOCK ST, PENTWATER, MI 49449-0619
- **Practice address phone:** (231) 869-7051
- **Practice address fax:** (231) 869-5536
- **Mailing address:** PO BOX 619, 500 HANCOCK ST, PENTWATER, MI 49449-0619
- **Mailing address phone:** (231) 869-7051
- **Mailing address fax:** (231) 869-5536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 4301036682 | MI | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 07/19/2010