Individual
MIKAL JOHN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4214
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4214
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
54536
MN
207Y00000X
Otolaryngology Physician
Primary
61336572
WA
Other
Enumeration date
06/10/2010
Last updated
05/01/2023
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