Individual
JEFFREY LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 W 89TH AVE, SUITE E-4, MERRILLVILLE, IN 46410-6294
(219) 769-8989
Mailing address
303 W 89TH AVE, SUITE E-4, MERRILLVILLE, IN 46410-6294
(219) 769-8989
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01073834A
IN
Other
Enumeration date
06/03/2010
Last updated
10/26/2016
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