Individual
JOSEPH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5474 MOUNTAIN IRON DR, VIRGINIA, MN 55792-3371
(218) 741-2421
Mailing address
5474 MOUNTAIN IRON DR, VIRGINIA, MN 55792-3371
(218) 741-2421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125674
MN
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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