Individual
DR. ERIC RICHARD NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6405 FRANCE AVE S, SUITE W460, EDINA, MN 55435-2163
(952) 925-4162
(952) 925-3520
Mailing address
6405 FRANCE AVE S, SUITE W460, EDINA, MN 55435-2163
(952) 925-4162
(952) 925-3520
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
33370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323003100
—
MN
Enumeration date
03/17/2006
Last updated
03/23/2017
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