Individual
PETER E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28188
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106184
U CARE
—
01
—
2114066
FIRST HEALTH PLAN
—
01
—
283285200
MEDICAL ASSISTANCE
—
01
—
2900211
MEDICA HEALTH PLANS
—
01
—
486R2NE
BLUE CROSS BLUE SHIELD
—
01
—
559249
ARAZ GROUP
—
01
—
6D080NE
BLUE CROSS BLUE SHIELD
—
01
—
986021
PREFERRED ONE
—
01
—
HP25495
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
11/29/2011
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