Individual
MARCIA K NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45125 291ST ST, VIBORG, SD 57070-5300
(605) 760-3972
(605) 326-5706
Mailing address
45125 291ST ST, VIBORG, SD 57070-5300
(605) 760-3972
(605) 326-5706
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36452
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1939991
—
IA
Enumeration date
08/30/2006
Last updated
07/09/2012
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