Individual
DR. JARED WYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2769 HEARTLAND DRIVE, SUITE 105, CORALVILLE, IA 52241
(319) 545-7300
(319) 545-7314
Mailing address
2771 OAKDALE BLVD STE 3, CORALVILLE, IA 52241-9747
(319) 545-7310
(319) 626-7314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38955
IA
2085R0202X
Diagnostic Radiology Physician
MT186557
PA
Other
Enumeration date
04/19/2010
Last updated
04/27/2021
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