Individual
DR. MICHAEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8528
(505) 823-8555
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 823-8528
(505) 823-8555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72-204
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20362
—
NM
Enumeration date
01/25/2006
Last updated
12/21/2010
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