Individual
WILLIAM B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, MC 11102H, ST PAUL, MN 55101-2502
(651) 254-3462
(651) 254-1603
Mailing address
8170 33RD AVE S STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41514
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389227100
—
MN
Enumeration date
02/08/2006
Last updated
11/15/2021
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