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Individual

JEANNE M NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4040 COON RAPIDS BLVD NW, SUITE #100, COON RAPIDS, MN 55433-2522
(763) 236-9494
(763) 236-9495
Mailing address
4040 COON RAPIDS BLVD, SUITE #100, COON RAPIDS, MN 55433-2522
(763) 236-9494
(763) 236-9495

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
31328
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
194J0NE
BCBS
MN
01
290014444
RAILROAD MEDICARE
MN
01
450661022486
PREFERRED ONE
MN
01
4800215
MEDICA
MN
05
788700100
MN
01
83654
HEALTH PARTNERS
MN
Enumeration date
12/11/2006
Last updated
01/26/2010
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