Individual
MICHAEL E NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 343-1333
(605) 343-6017
Mailing address
PO BOX 2760, RAPID CITY, SD 57709-2760
(605) 343-1333
(605) 343-6017
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12792
SD
Other
Enumeration date
06/22/2017
Last updated
07/09/2021
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