Individual
DR. DEREK JAMES NELSON
Active
Individual
DR. DEREK JAMES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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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