Individual
DAVID D. NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7217
(608) 756-4700
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7217
(608) 756-4700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
54912-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417184169
BCBSWI
WI
05
—
1417184169
—
WI
01
—
K400372132-000054176
WI MEDICARE
WI
01
—
NELSEDAV
MERCYCARE INSURANCE
WI
Enumeration date
06/19/2009
Last updated
09/12/2018
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