Individual
VIRGINIA S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
325 E EISENHOWER PKWY, SUITE 100, ANN ARBOR, MI 48108-3364
(734) 936-7175
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301031564
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1340900
—
MI
Enumeration date
10/19/2006
Last updated
03/22/2012
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