Individual
PAUL D NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 748-7000
(920) 748-7236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20430-020
WI
208600000X
Surgery Physician
20430-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30359200
—
WI
Enumeration date
08/18/2005
Last updated
09/08/2023
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