Individual
ERIC R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1788
(920) 324-6802
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
53439-020
WI
Other
Enumeration date
07/21/2006
Last updated
10/21/2020
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