Individual
MICHAEL L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
65 W 200 N, SUITE1, SPANISH FORK, UT 84660-1756
(801) 794-3856
(801) 794-9882
Mailing address
65 W 200 N, SUITE1, SPANISH FORK, UT 84660-1756
(801) 794-3856
(801) 794-9882
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
367775-0501
UT
Other
Enumeration date
07/24/2006
Last updated
09/30/2012
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