Individual
DR. WILLIAM GEORGE NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2960 WINNETKA AVE N, STE 208, CRYSTAL, MN 55427
(763) 512-1090
(763) 512-1081
Mailing address
2960 WINNETKA AVE N, STE 208, CRYSTAL, MN 55427
(763) 512-1090
(763) 512-1081
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32416
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820004
PRE 1
—
01
—
108933
UCARE
—
01
—
1520187
MEDCA
—
01
—
31674500
WMA
—
01
—
4118057502
HNHP
—
01
—
98032NE
CCS
—
01
—
HP14045
HP
—
Enumeration date
03/07/2006
Last updated
07/21/2022
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