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Organization

MARK D NELSON, DPM, LLC

Active
Other names
MARK D NELSON, DPM
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK D NELSON DPM (PRESIDEN)
(920) 725-4008
Entity
Organization

Contact information

Practice address
1440 S COMMERCIAL ST, NEENAH, WI 54956-4638
(920) 725-4008
(920) 725-4218
Mailing address
1440 S COMMERCIAL ST, NEENAH, WI 54956-4638
(920) 725-4008
(920) 725-4218

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
862025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
862025
LICENSE
WI
Enumeration date
01/22/2009
Last updated
01/22/2009
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