Individual
ERIC MICHAEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 778-9738
(402) 334-2849
Mailing address
PO BOX 34310, OMAHA, NE 68134-0310
(402) 778-9738
(402) 334-2849
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25085
NE
207L00000X
Anesthesiology Physician
38393
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055043813
—
NE
Enumeration date
06/10/2009
Last updated
02/23/2010
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