Individual
DR. NELSON HOWARD HASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
401 WOODWARD AVE, KINGSFORD, MI 49802-4630
(906) 774-0611
(906) 774-2796
Mailing address
401 WOODWARD AVE, KINGSFORD, MI 49802-4630
(906) 774-0611
(906) 774-2796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2242-035
WI
152W00000X
Optometrist
Primary
4901003162
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38578900
—
WI
01
—
900B26512
BC/BS #
MI
Enumeration date
09/20/2006
Last updated
12/16/2008
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