Individual
DR. MICHAEL JOHN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 SE 172ND AVE STE 220, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1734
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
00039405
WA
2084N0400X
Neurology Physician
A78283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038611
—
WA
Enumeration date
05/03/2006
Last updated
03/17/2018
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