Individual
DR. MATTHEW ROBERT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1610 MAXWELL DR, SUITE 100, HUDSON, WI 54016-8709
(715) 386-9393
(715) 386-9885
Mailing address
1610 MAXWELL DR, SUITE 100, HUDSON, WI 54016-8709
(715) 386-9393
(715) 386-9885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3008
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3008
STATE DC LICENSE
WI
01
—
3110
STATE DC LICENSE
MN
05
—
3706511
—
MN
05
—
38874700
—
WI
Enumeration date
10/16/2006
Last updated
07/09/2007
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