Individual
DR. MARK G NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12502 WILLOWBROOK RD, SUITE 470, CUMBERLAND, MD 21502-6393
(240) 964-8724
(240) 964-8735
Mailing address
12502 WILLOWBROOK RD, SUITE 470, CUMBERLAND, MD 21502-6393
(240) 964-8724
(240) 964-8735
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0056355
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D0056355
MD
Other
Enumeration date
08/19/2005
Last updated
02/24/2010
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