Individual
BRYAN J NESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5201
(651) 968-5904
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5201
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30036
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01706812
—
NY
Enumeration date
08/25/2006
Last updated
12/09/2016
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