Individual
DR. DEREK JAMES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
280 SMITH AVE N STE 220, SAINT PAUL, MN 55102-2459
(651) 241-8295
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8924
IA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
54534
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
06/14/2010
Last updated
10/02/2025
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