Individual
CAMERON V NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
955 HIGH ST, STE 2, DECATUR, IN 46733-2326
(260) 724-8700
(260) 728-3821
Mailing address
955 HIGH ST, STE 2, DECATUR, IN 46733-2326
(260) 724-8700
(260) 728-3821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045372
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093860
ANTHEM
—
05
—
20040690A
—
IN
Enumeration date
01/20/2006
Last updated
07/08/2007
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