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Individual

DAVID PAUL NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3620 BEMIDJI AVE N, BEMIDJI, MN 56601-4333
(218) 751-4936
(218) 751-4939
Mailing address
3620 BEMIDJI AVE N, BEMIDJI, MN 56601-4333
(218) 751-4936
(218) 751-4939

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0001111
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83326NE
BCBS OF MN
MN
Enumeration date
11/10/2006
Last updated
07/08/2007
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