Individual
BRUCE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
(701) 234-3672
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-2305
(701) 234-7060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4258
ND
Other
Enumeration date
07/18/2006
Last updated
11/30/2011
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