Individual
THOMAS ERL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6567 E CARONDELET DR STE 415, TUCSON, AZ 85710-6157
(520) 887-7700
(520) 849-5735
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32898
MN
207X00000X
Orthopaedic Surgery Physician
56958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140144E948
UCARE
—
01
—
190J2NE
BLUECROSS BLUESHIELD
—
05
—
751197300
—
MN
01
—
82707400
WISC MEDICAID
—
01
—
900625
MEDICA
—
01
—
96999102573
PREFERREDONE
—
01
—
HP31501
HEALTHPARTNERS
—
Enumeration date
08/29/2006
Last updated
05/29/2020
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