Individual
DR. STEPHEN JOHN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7404 XERXES AVE S, EDINA, MN 55423-3541
(952) 500-9089
Mailing address
7404 XERXES AVE S, EDINA, MN 55423-3541
(952) 500-9089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20297
MN
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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