Individual
JAMES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4845 DIVISION AVE S, WYOMING, MI 49548-4498
(616) 531-3059
Mailing address
1773 WOODSIDE TRL NW, GRAND RAPIDS, MI 49504-2580
(616) 453-1835
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001738
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071580
—
MI
Enumeration date
08/22/2006
Last updated
11/21/2007
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