Individual
DR. DOUGLAS RICHARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3521 COMMERCE CT, APPLETON, WI 54911-8579
(920) 734-7730
(920) 734-0456
Mailing address
3521 COMMERCE CT, APPLETON, WI 54911-8579
(920) 734-7730
(920) 734-0456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2347
WI
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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