Individual
DONALD NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 8TH ST SE, CEDAR RAPIDS, IA 52401-2143
(319) 398-6170
(319) 398-6466
Mailing address
610 8TH ST SE, CEDAR RAPIDS, IA 52401-2143
(319) 398-6170
(319) 398-6466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20231
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152751
—
IA
Enumeration date
01/11/2006
Last updated
07/08/2007
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