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Individual

JOSIAH D NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3217 STEIN BOULEVARD, EAU CLAIRE, WI 54701-6995
(715) 835-6548
(715) 835-7708
Mailing address
3217 STEIN BOULEVARD, EAU CLAIRE, WI 54701-6995
(715) 835-6548
(715) 835-7708

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
48491
WI
208800000X
Urology Physician
Primary
48491-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002959
WI
01
48491-020
LICENSE
WI
Enumeration date
05/17/2006
Last updated
09/18/2009
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