Individual
DAVID J NUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3800
(952) 993-1392
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
102549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073493000
—
MN
Enumeration date
07/21/2006
Last updated
03/09/2021
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