Individual
BJORN NILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 E HUNTINGTON AVE, FRESNO, CA 93702-2962
(559) 459-4300
(559) 459-4569
Mailing address
5505 E BUTLER AVE, FRESNO, CA 93727-5305
(559) 251-4913
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C35140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C351400
—
CA
Enumeration date
08/30/2006
Last updated
07/09/2007
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